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Begin a high-quality multivitamin, vitamin D3 supplementation if levels are below 40 ng/mL, and ensure protein intake is already at 0.8-1.0 grams per kilogram daily

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Endogenous biosynthesis Humans can synthesize L-carnitine from the amino acids lysine and methionine in a multi-step process occurring across several cell compartments (cytosol, lysosomes, and mitochondria) (reviewed in 6)

B.et al (2011)