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10.1158/1541-7786.MCR-10-0340 25 KawabuchiM.SatomiY.TakaoT.ShimonishiY.NadaS.NagaiK.et al (2000)

Also most substituted-, branched-chain- and dicarboxylic acyl-CoA esters are converted into acylcarnitines, but at a (much) slower rate than the straight-chain esters

High dosages can get you mild side effects like diarrhea, nausea, dizziness, headaches, or a very warm burning feeling in the injection area

However, the previous studies could not avoid the confounding effects of the endogenous carnitine background when attempting to evaluate the effects of administering exogenous l- or d-carnitine