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Vegetarians and vegans, because Acetyl-L-Carnitine is an amino acid mainly in animal muscle meats, mostly red meat Some individuals also have a genetic modification that prevents the body from producing L-carnitine Others with medical conditions, such as Crohns disease, who have trouble absorbing nutrients could also be L-carnitine deficient Elderly individuals: studies have also shown that as one ages, L-carnitine production also reduces Newborns are usually screened for a condition called primary carnitine deficiency