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FDA ruled that D-carnitine and DL-carnitine (mixed isomer carnitine) were not Generally Recognized as Safe (GRAS) substances, and they were banned from sale

doi: 10.1126/science.1104816 231 BergRD

112 Guerreiro G, Amaral AU, Ribeiro RT, Faverzani J, Groehs AC, Sitta A, Deon M, Wajner M, Vargas CR (2019) l-Carnitine prevents oxidative stress in striatum of glutaryl-CoA dehydrogenase deficient mice submitted to lysine overload

This is of particular benefit for those suffering with Type 2 Diabetes

Propionyl-L-carnitine: This form is well-suited for circulatory issues, such as peripheral vascular disease and high blood pressure

doi: 10.1371/journal.pone.0186802