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Safety Although the studies included in this review identified no important safety issues, orally administered l-carnitine supplementation has been linked to a increase in trimethylamine (TMA) and trimethylamine- N -oxide (TMAO), as unabsorbed carnitine is metabolised by the gut microbiota to TMA and later oxidised to TMAO in the liver

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Seek urgent medical attention if you experience severe abdominal pain (which may radiate to the back), persistent vomiting, or jaundice (yellowing of the skin or eyes), as these could indicate serious conditions such as pancreatitis or gallbladder disease

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