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Side effects that may occur and may go away as your body gets used to the medication include: Gastrointestinal issues, such as: Abdominal pain or stomach upset Constipation or diarrhea Nausea or vomiting Indigestion (dyspepsia) Headache Fatigue Dizziness What serious side effects prompt immediate attention

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L-carnitine supplementation increases trimethylamine-N-oxide but not markers of atherosclerosis in healthy aged women