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Some side effects have been observed after high-dose supplementation of L-carnitine, such as diarrhea, intestinal problems, and trimethylamine production that causes a fishy odor

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10.1111/j.1471-4159.1960.tb13458.x J

[The clinical and hemodynamic effects of propionyl-L-carnitine in the treatment of congestive heart failure]

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