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Carnitine supplementation is appropriate for daily continuous use it is a conditionally essential nutrient rather than a stimulant that produces tolerance and downregulation
During ethanol metabolism, alcohol dehydrogenase (ADH) converts ethanol to acetaldehyde in the liver, then aldehyde dehydrogenase (ALDH2) oxidizes acetaldehyde to acetate
GI side effects may temporarily worsen during this escalation but usually resolve within 23 weeks
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