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Some people who use L-carnitine may develop gastrointestinal difficulties such as nausea, vomiting, diarrhoea, or stomach cramps

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Genetic validation increases confidence in target biology but should be viewed as a supportive criterion rather than a prerequisite

[1] Adults eating mixed diets of red meat and other animal products ingest some 60180 mg of carnitine per day, while vegans consume about 1012 mg per day

Starting above 0.25 mg dramatically increases nausea and vomiting risk