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The most commonly reported side effects of L-carnitine supplements are gastrointestinal, including nausea, stomach cramps, diarrhoea, and a distinctive fishy body odour caused by the production of trimethylamine during gut metabolism

Antonie Van Leeuwenhoek (2020) 113:201940

Acetyl-L-carnitine provides effective in vivo neuroprotection over 3,4-methylenedioximethamphetamine-induced mitochondrial neurotoxicity in the adolescent rat brain

doi: 10.1146/annurev.nu.03.070183.001313

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Gastric dysplasia may be an independent risk factor of an advanced colorectal neoplasm
