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Annals of Pharmacotherapy, 29 (12), 12631273

The most frequently reported adverse events were primarily gastrointestinal-related and generally mild to moderate in severity

92 KatoM.YoshimuraS.KokuzawaJ.KitajimaH.KakuY.IwamaT.et al (2004)

Carnitine is required for the transport of long-chain acylcarnitines into the mitochondrial matrix, otherwise they accumulate in the mitochondrial intermembrane space and induce detrimental effects on both mitochondrial respiration and pyruvate metabolism