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found that carnitine supplementation modified the production of various cytokines, such as interferon-, tumor necrosis factor-, interleukins-2, 4, 6, vascular endothelial growth factor, granulocyte-macrophage colony stimulating factor, and insulin-like growth factor-1 in serum and peritoneal fluid as tested using the immunofluorescence or ELISA technique [19]

Rarely may cause allergic reactions, specifically bronchospasm, erythema, skin rash, or itching

Patients are encouraged to maintain open communication with their GP, bariatric nurse, and dietitian, and to attend follow-up appointments consistently