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Potential Side Effects and Precautions Although this combination is generally considered safe for the majority of individuals, it is essential to remain cognizant of potential side effects: From Caffeine Jitters or anxiety Increased heart rate Sleep disturbances From L-Carnitine (rare) Mild stomach discomfort Fishy body odor (at high doses) Avoid taking this combination late in the evening to prevent sleep disruption

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Insurers are permitted to set their own PA thresholds above FDA-label minimums as a cost-management measure