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-Butyrobetaine Hydroxylase (BBOX) The final step in carnitine biosynthesis is the hydroxylation of -BB by BBOX, an enzyme localized in the mitochondria

Personally, I know through genetic testing that I have the SNP (single nucleotide polymorphism) rs1050450(C;T) on my GPX1 gene which reduces my glutathione peroxidase activity and therefore my ability to combat oxidative stress

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Less Common but Serious Side Effects Although rare, serious side effects of L carnitine injection require immediate medical attention

Less common but more severe side effects include pancreatitis, gastroparesis, bowel obstruction, gallstone attacks, and bile duct blockage