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best used with training and diet adherence GI upset in sensitive individualstake with meals or split doses to minimize stomach discomfort Individual variation in response: vegetarians or those with naturally low carnitine status respond better than omnivores Fatigue and dizziness in some individuals during extended cuts, potentially exacerbated by L-carnitine supplementation at high doses Cost relative to benefit is moderate

A within-person standard deviation of 1.178 mol/L (log-transformed) for maximum TMAO concentration after a 1.5 g OCC was derived from a study by Wu et al

The remaining AEs reported included body odors such as fishy smell and urine smell [15,84], leukopenia [75], and liver dysfunction [75]

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