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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