Whether it makes sense to have both is a case-by-case matter
& Hesson, L
Key Takeaways Essential for Energy Critical for fatty acid metabolism Best Sources Red meat, poultry, fish, dairy Multiple Benefits Heart health, exercise, weight management Safe Usage Consult professionals before supplementing References Linus Pauling Institute, Oregon State University: L-Carnitine Highlights meat, poultry, fish, and dairy as the richest sources of L-carnitine
(Note that this is for L-carnitine, not ALC) I was curious about the mention of seizures because they did not include any abstracts for papers referencing seizures and came across this review, which found no evidence in the medical literature for ALC-induced seizures
Because compounded semaglutide isnt FDA-approved, there are no standardized guidelines or official indications for who qualifies for it