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[4] Hrelec M, Klicek G, Brcic L, et al

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Commonly reported side effects include: Nausea, vomiting, or stomach cramps Diarrhoea or loose stools A distinctive 'fishy' body odour, caused by the production of trimethylamine — a metabolic by-product of carnitine breakdown in the gut [4] [8] These gastrointestinal effects are more likely at higher doses, particularly above 3,000 mg per day, and are consistent with adverse effects described in the levocarnitine SmPC