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PMID: 40636240 13 Antiretroviral treatment leading to secondary trimethylaminuria: Genetic associations and successful management with riboflavin

Serious but rare adverse events requiring immediate medical attention include severe abdominal pain potentially indicating pancreatitis, symptoms of gallbladder disease including right upper quadrant pain and jaundice, severe dehydration from persistent vomiting or diarrhea, allergic reaction symptoms including rash, swelling, or difficulty breathing, and significant vision changes or severe persistent headaches

Therefore, this systematic review and meta-analysis aimed to assess the efficacy and safety of L-carnitine supplementation on NAFLD

It is important to note that there is no gender or ethnic predilection (20, 34)

Supplementation significantly increased circulating B-cell numbers compared with placebo, while natural killer (NK) cell counts increased in both groups without significant between-group differences