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The supplement may also interact with certain chemotherapy drugs, so cancer patients should always discuss supplementation with their oncologist before use

[10] Gastrointestinal disturbances-including nausea, loose stools, and a transient fishy body-odor attributable to trimethylamine production from excessive carnitine and choline metabolism-occur in a minority of recipients and are usually self-limiting within 24 to 48 hours after injection

1 Sunvold GD, Tetrick MA, Davenport GM, Bouchard GF

This phenomenon, widely recognized as Long COVID, shares a striking and complex clinical overlap with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)