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The concern primarily stems from research indicating that excessive levels of L-carnitine might lead to increased production of trimethylamine-N-oxide (TMAO), a compound linked to cancer and heart disease

Chen-Wen L, Lan-Lan L, Sheng C, Jian-Xiang Z, Wan-Liang L

To participate, you must have a pediatric pharmacy or medical claim in the 85th percentile or higher within the last three years or an adult pharmacy or medical claim with a BMI of 25 or higher within the last three years

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For adults over 40: Target the higher end of the range