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Gastroenterology 150:13801392 Hejazi RA, McCallum RW (2011) Review article: cyclic vomiting syndrome in adultsrediscovering and redefining an old entity

New research suggests that this is due to a decrease in carnitine biosynthesis, which could be caused by low iron levels in the female body

In one 26-month randomized controlled trial, 170 women younger than 35 years took clomiphene citrate ("Clomid") and either 3 g/day supplemental L-carnitine or placebo from day 3 of their menstrual cycle until the day of their first positive pregnancy test result

One medium-sized avocado contains around 2 milligrams of L-carnitine

Vegetarians and vegans with lower dietary carnitine intake People who exercise regularly and want support for fat utilisation during training Those already following a calorie-appropriate diet and structured activity routine Anyone without thyroid medication conflicts or seizure history Who Should Avoid It or Consult a Doctor First Anyone with a seizure disorder or history of seizures People on thyroid hormone medication, due to possible interaction Those expecting weight loss without any exercise component Pregnant or breastfeeding women without medical guidance Anyone with significant kidney impairment, due to altered carnitine clearance Expert Review "L-Carnitine is the ingredient I'm most likely to ask a patient follow-up questions about before recommending specifically, are they vegetarian, and are they actually exercising regularly