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Derosa, G., D'Angelo, A., Preti, P., & Maffioli, P

doi: 10.3389/fpsyt.2017.00155

Potential Side Effects and Precautions Although this combination is generally considered safe for the majority of individuals, it is essential to remain cognizant of potential side effects: From Caffeine Jitters or anxiety Increased heart rate Sleep disturbances From L-Carnitine (rare) Mild stomach discomfort Fishy body odor (at high doses) Avoid taking this combination late in the evening to prevent sleep disruption

Lotta LA, Pietzner M, Stewart ID, Wittemans LBL, Li C, Bonelli R, et al