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The TGA has warned it could land pharmacists in hot water

In humans, 75% of carnitine is obtained from the diet [2]

Patients may inadvertently receive a dose thats too weak to work or too potent, increasing the risk of side effects like nausea and dehydration

Other findings included: Gallbladder issues (especially with rapid weight loss) Pancreatitis (rare, with unclear causality) Thyroid C-cell hyperplasia (in animals, not seen in humans) Lean mass lossup to 40% of weight lost may be muscle in older adults None of these derailed regulatory approvals