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In response, the Natural Products Association (NPA) reached out to Amazon to let them know that the issue was not closed with the FDA, and that NAC is a product that has dual uses as both a drug and a supplement, like many other products on the market (such as niacin, fish oil, and potassium, which can be sold as over-the-counter supplements, or prescribed by a medical professional)

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L-Carnitine Improved the Cardiac Function via the Effect on Myocardial Fatty Acid Metabolism in a Hemodialysis Patient. Internal Medicine , vol

[1] Even carnitine-poor diets have little effect on total carnitine content, as the kidneys conserve carnitine

However, it's essential to approach it with realistic expectations and under the guidance of a healthcare professional