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Levocarnitine was not bound to plasma protein or albumin when tested at any concentration or with any species including the human.9 METABOLISM AND EXCRETION In a pharmacokinetic study where five normal adult male volunteers received an oral dose of [3H-methyl]-L-carnitine following 15 days of a high carnitine diet and additional carnitine supplement, 58 to 65% of the administered radioactive dose was recovered in the urine and feces in 5 to 11 days

Rare but Possible Side Effects Although rare, some people may experience stronger L-carnitine side effects, particularly if they have pre-existing medical conditions or take high doses for extended periods

Somehow a new stereogenic center must be created, and the aldehyde must be deactivated in the pentamethyl derivative