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L-carnitine side effects may include: Gastrointestinal disturbances (nausea, vomiting, diarrhoea, abdominal cramps) "Fishy" body odour in some individuals Restlessness or agitation Increased appetite Seizures have been reported with levocarnitine, particularly with the licensed medicinal form, and caution is advised in individuals with seizure disorders

Neurobiol Aging 28(9):14361445

If you experience mild to moderate swelling or discomfort, these can typically be managed with a cold compress

Table S2: Number of subjects in (A) D and (B) DG groups with different types of anti-diabetic treatment

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Though the idea was simple enough, the research and development to create such a product was surprisingly extensive