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L-carnitine side effects may include: Gastrointestinal disturbances (nausea, vomiting, diarrhoea, abdominal cramps) "Fishy" body odour in some individuals Restlessness or agitation Increased appetite Seizures have been reported with levocarnitine, particularly with the licensed medicinal form, and caution is advised in individuals with seizure disorders

Dietary Context : The overall dietary pattern can also play a significant role

The OH depolymerizes GI mucin, inactivates pyruvate dehydrogenase, an essential mitochondrial enzyme, and damages mitochondrial RNA and DNA in the GI tract (113)