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Seek urgent medical attention contact 999 or go to your nearest emergency department if you develop any of the following: Vomiting blood or passing black, tarry stools (possible gastrointestinal bleeding) Severe chest pain Sudden, severe abdominal pain Contact your GP promptly or seek an urgent appointment if you experience: Persistent or worsening difficulty swallowing (dysphagia) Unexplained or progressive unintentional weight loss Persistent vomiting New or worsening anaemia These symptoms may warrant urgent investigation, including referral via the NHS two-week-wait suspected cancer pathway as set out in NICE Guideline NG12 (Suspected cancer: recognition and referral)
Powders and capsules have lower moisture and are less hospitable to microbes, so they are less likely to develop an L-carnitine smell under normal use
Skipping titration steps increases the risk of severe nausea, vomiting, diarrhea, and constipation
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