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Individual response varies, and effectiveness depends on overall nutrition, lifestyle factors, and medical appropriateness

doi: 10.1152/ajpendo.00187.2006

"The effect of AOD9604 on body fat and metabolism in obese subjects." Obesity Research & Clinical Practice, 2005

Because adequate, well-controlled studies in pregnant individuals are lacking, use should be limited to circumstances in which the potential maternal benefit clearly outweighs theoretical fetal risk-such as treatment of documented systemic carnitine deficiency