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Then DL-carnitine HCl became available in bulk quantities, and later pure L-carnitine

Fatigue, dizziness, and headache have also been reported, particularly during the early weeks of treatment

Other drugs that cause increased uric acid and gout include: Alcohol, Amiloride, Bumetanide, Chorthalidone, Cisplatin, Cyclophosphamide, Cyclosporine, Ethacrynic acid, Ethambutol, Furosemide, Hydrochlorothiazide, Indapamide, Isotretinoin, Ketoconazole, Levodopa, Metolazone, Pentamidine, Phencyclidine, Pyrazinamide, Salicylates, Theophylline, other Thiazide diuretics, and Vincristine

Vitamins bypass your gut entirely , delivering a more effective dose