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Sandstrom et al., 1993) might now seem related to inhibition of NCC

Both agents carry the same class warnings: boxed warning for thyroid C-cell tumors (rodent studies), risk of pancreatitis, and contraindication with personal/family history of medullary thyroid carcinoma or MEN 2 syndrome

Chronic oral ingestion of L-carnitine and carbohydrate increases muscle carnitine content and alters muscle fuel metabolism during exercise in humans