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Taking high doses (3 grams or more per day) can potentially cause nausea, vomiting, and a 'fishy' body odor

Schwartz, MW Central injection of fibroblast growth factor 1 induces sustained remission of diabetic hyperglycemia in rodents Nat Med 22 7: 800-6

AP-194096), and performed in accordance with the Guidelines for the Care and Use of Laboratory Animals at Kanazawa University

European multicenter study on propionyl-L-carnitine in intermittent claudication

It boosts the production of vascular or cellular mediators such as nitric oxide which open up blood vessels

The TMAO Concern But taking carnitine comes with an important caveat