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The Food and Nutrition Board of the National Academies concluded in 1989 that carnitine is not an essential nutrient and did not establish Dietary Reference Intakes (DRIs) [1][9]

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However, side effects such as nausea, along with administration by injection or nasal spray, have limited its appeal compared with current oral treatments

Further characterization of SP2-71 indicated that it was not a single strain, but a combination of 4 microbes (Supplemental Figure 4A)