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SEMALIX 3 TABLET may increase the risk of low blood sugar (hypoglycaemia), particularly when used along with other antidiabetic medicines such as insulin or sulfonylureas

The most common side effects are digestive as these medications slow gastric emptying and change appetite signals

Research has found that carnitine deficiency can cause smooth muscle dysmotility (changes in speed, strength, or coordination) of the gastrointestinal tract (similar to what it does to muscle metabolism, causing muscle weakness), which can cause gastrointestinal discomfort and changes in the microbiota ( gut dysbiosis ), as well as constipation

Supportive supplementation daily multivitamin, vitamin D, magnesium, and adequate protein intake, is recommended for many patients