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Gastroenterology (2011) 141(1):1506

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Abbreviations ALT, Alanine Aminotransferase

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Hypersensitivity Reactions Serious hypersensitivity reactions, including anaphylaxis, laryngeal edema, and bronchospasm have been reported following levocarnitine administration, mostly in patients with end stage renal disease who are undergoing dialysis

Less obvious is chronic inability to absorb B12, which often results from long-term antacid use, Crohns disease, gastric bypass, atrophic gastritis, and pernicious anemia