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This description is for research context only

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L-carnitine side effects are generally mild but may include: Nausea, vomiting, or abdominal cramps Diarrhoea or heartburn A 'fishy' body odour (due to trimethylamine production by gut bacteria) Rarely, restlessness or sleep disturbances High doses of L-carnitine (above 3g daily) have been associated with increased seizure frequency in individuals with seizure disorders

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personal factors matter more than the small difference in average outcomes Switching Between Medications Many patients start with one medication and switch to the other

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If you are camping for multiple days without access to refrigeration or ice, consider adjusting your dosing schedule to take your weekly injection before you leave and after you return, rather than trying to maintain cold-chain in wilderness conditions

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