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While outright deficiency is rare, especially in healthy individuals who consume a varied diet, certain signs can indicate low levels of L-Carnitine, such as muscle weakness, fatigue, or difficulty in achieving peak physical performance

Reference: Sikiric P et al

Nowotnik DP, Cvitkovic E

Blood Disorders : Extremely rare cases of blood disorders, such as hemolysis (the rupture of red blood cells), have been documented, particularly in individuals with a deficiency in G6PD

[2] He would go on to win the International Triathlon Union Long Distance Triathlon World Championships for Men 30-34, and became a top-ranked triathlete in his age group