can l carnitine cause nausea L-Carnitine in Mitochondria Carnitine: Health Benefits, Supplement Uses,

10.1097/MOH.0000000000000574 12 De MariaR.TestaU.LuchettiL.ZeunerA.StassiG.PelosiE.et al (1999)

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It is not rare to note in affected individuals an association between vitiligo and other autoimmune and autoinflammatory conditions such as alopecia, asthma, Hashimotos thyroiditis, Graves disease, and type 1 insulin-dependent diabetes mellitus indicating the presence of multiple comorbidities (Dahir and Thomsen 2018)

It's carefully supplemented with L-carnitine to support the oxidation of long-chain fatty acids present in milk