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When adverse effects occurred, they were typically mild and transient, with the most common being mild to moderate headaches (similar frequency to placebo groups), minor injection site reactions (redness, slight swelling), and gastrointestinal effects at higher oral doses (nausea, diarrhea)
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We also dont know much about the relative effects of weight loss on mortality
Even high doses have not resulted in improved carnitine concentrations in muscle and no change in function
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