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Some people might notice a fishy smell as a result of bacteria in the bowel breaking down the unabsorbed L-carnitine

Qian, M., Wu, N., Li, L., Yu, W., Ouyang, H., Liu, X., He, Y., & Al-Mureish, A

However, if you exceed the recommended dosage or if you are sensitive to it, it may cause some side effects

J Rheumatol 18(3):452454 Del Giorno R, Skaper S, Paladini A, Varrassi G, Coaccioli S (2015) Palmitoylethanolamide in Fibromyalgia: Results from Prospective and Retrospective Observational Studies
