I can't speak of any improvement, I'm carnitine deficient so I don't take it for the same reasons most people do . but they're probably doing their thing. However, I highly recommend trying the smaller NOW 500mg pills instead and taking two as these are the biggest pills I've ever taken in my life (seriously, they're gigantic). Every day I scratched her throat/esophagus. I've tried taking them with different liquids and big gulps, but to no avail. I may have a smaller neck than most but I doubt it and I've never had a problem with pills.
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