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Eisermann K, Fraizer G
Maebashi M, Kawamura N, Sato M, Imamura A, Yoshinaga K: Urinary excretion of carnitine in patients with hyperthyroidism and hypothyroidism: augmentation by thyroid hormone

Enhanced Absorption: Black pepper extract with 95% piperine improves bioavailability for maximum benefit

thus, it may not be able to detect the lipid-lowering effects in the above subjects
