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[PMID: 24414535]

Having sufficient carnitine helps to keep the balance right and mitochondria functioning properly.[ref] Carnitine synthesis in the body: Carnitine can be synthesized in the body or obtained from food (mainly meat and dairy)

We had several hypotheses, which we kept ruling out based on our experiments, said Wilfred van der Donk, a professor of chemistry and investigator of the Howard Hughes Medical Institute

Li, Clinical delivery of circular RNA: lessons learned from RNA drug development
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Side effects tend to be dose-dependent and include nausea, vomiting, abdominal cramps, diarrhea, and a fishy body odor