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Gastrointestinal side effects are most common during dose escalation and may improve with slower titration or temporary interruption of treatment

[1] [13] Contact your GP or diabetes team if you experience: Persistent severe nausea or vomiting preventing adequate fluid intake Severe, persistent abdominal pain (with or without vomiting), which could indicate pancreatitis seek urgent medical help (999/A&E) for this symptom Signs of severe dehydration also requiring urgent medical attention Symptoms of hypoglycaemia Concerns about medication effectiveness If you experience any suspected side effects, you can report them via the MHRA Yellow Card scheme (yellowcard

Rare serious adverse events included gallbladder disorders and acute pancreatitis [53]

However, people with genetic irregularities or other health conditions causing a lack of L-carnitine should talk with their doctor for a more specific dosage