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Despite its great safety record, experts at the University of Maryland Medical Center advise people with the following conditions to discuss L-Carnitine supplementation with their physician before taking it: Peripheral vascular disease Hypertension Alcohol-induced liver disease Diabetes Kidney disease About Fatty Liver Disease Fatty liver refers to the infiltration of triglycerides and other fats into the liver cells, causing abnormal liver tests, inflammation and possible permanent liver damage