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*J Appl Physiol.* 110(3):774-780

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The most commonly reported side effects include: Mild injection site pain, redness, or swelling Nausea or gastrointestinal discomfort Fishy body odor due to trimethylamine accumulation at higher doses Increased heart rate in sensitive individuals Allergic reactions rash, itching, swelling are rare but possible in patients with hypersensitivity to L-Carnitine