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[4] Patients should never adjust dosing of either medication without medical supervision and should report any concerning symptoms to their healthcare provider promptly

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L-carnitine side effects may include: Gastrointestinal disturbances (nausea, vomiting, diarrhoea, abdominal cramps) "Fishy" body odour in some individuals Restlessness or agitation Increased appetite Seizures have been reported with levocarnitine, particularly with the licensed medicinal form, and caution is advised in individuals with seizure disorders

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