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The most common adverse effects reported in STEP-1 were gastrointestinal: nausea (44.2%), diarrhea (31.5%), vomiting (24.8%), and constipation (24.2%) [1]
some case reports suggest a possible interaction that may affect anticoagulant activity, and closer INR monitoring may be warranted if use is considered appropriate L-carnitine supplements are not a substitute for a balanced diet or structured physical activity
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