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Special Precautions Certain groups need to take extra care when considering acetyl-L-carnitine supplementation: Pregnant and breastfeeding women should avoid this supplement due to insufficient safety data Individuals with hypothyroidism may experience worsened symptoms, as acetyl-L-carnitine can interfere with thyroid hormone action People with seizure disorders should consult their doctor, as the supplement may increase seizure risk Those scheduled for surgery should stop taking it at least two weeks beforehand Interactions With Medications Acetyl-L-carnitine can interact with several medications, potentially altering their effectiveness