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Its a fair question
blog blog Does L-Carnitine Cause Heart Problems
And they are not yet fully understood
Patients who experience nausea or other gastrointestinal symptoms at standard starter doses often tolerate low-dose protocols better, which can improve adherence and long-term outcomes
doi: 10.1002/phar.2797 [PubMed] 37259844 Johannessen Landmark C, Eyal S, Burns ML, Franco V, Johannessen SI
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