Used For:

• Muscle cramps, fatigue, or weaknessPeripheral neuropathy or myopathy (vitamin E deficiency–related)Cardiac muscle weakness or post-cardiac surgery recoveryLiver or muscle disorders due to oxidative stressGeneral fatigue / chronic tirednessAdjunct therapy in diabetes, cardiovascular, or metabolic diseases

Contraindications:

• Hypersensitivity to vitamin E or carnitineSevere renal impairment (L-carnitine may accumulate)Vitamin K deficiency, bleeding disorders, or use of anticoagulants (vitamin E increases bleeding risk)Hypervitaminosis EPregnancy/lactation — only under medical advice

Side Effects:

• Usually mild and transient:Nausea, vomiting, abdominal crampsDiarrhea or loose stoolsHeadache or dizzinessMild rash or itching

Precautions:

• Take after meals to improve absorption and reduce gastric upset.Avoid prolonged use without monitoring vitamin E blood levels.Use cautiously if taking anticoagulants, antiplatelets, or statins — may interact.In diabetics, monitor blood sugar (L-carnitine may mildly alter metabolism).Renal or hepatic impairment: dose adjustment or medical supervision needed.

Dietary Restrictions:

• Maintain a balanced diet with natural vitamin E sources (nuts, seeds, green vegetables, whole grains).Avoid alcohol — it worsens oxidative stress and reduces nutrient absorption.Limit fried/fatty foods (can interfere with vitamin E uptake).Stay well hydrated.Do not take other vitamin E or antioxidant supplements simultaneously without medical advice.