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Excluded were trials were l-carnitine was given in combination with other products (multi-ingredient supplements) or the outcome was not related to post exercise recovery

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The ideal therapeutic concentration of ketones is between 1 and 3 mmol/L, and SGLT2 inhibitors elevate ketone levels within this range ( 5.4.2 Other medications In addition to SGLT2 inhibitors, some drugs have also been observed to alter ketone levels in patients to varying degrees

Products should be free from contaminants and accurately labeled regarding strain composition and potency

Dalakas MC, Leon-Monzon ME, Bernardini I, et al