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Some common side effects include: Redness Hypomagnesemia (low magnesium levels in the blood) Hypercalcemia (high calcium levels in the blood) Hypophosphatemia (low phosphate levels in the blood) Hypotension (low blood pressure) Nausea Vasodilation Weakness Kidney stones- indicated by back pain, belly pain, or blood in the urine Hot flashes Fainting or dizziness Injection site reactions: tingling, burning, inflammation of veins (phlebitis) Mood changes Cardiac arrhythmias Change in how much urine is passed Bone pain Storage Store at controlled room temperature

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10.1016/j.crmicr.2021.100043 28 RobertsA

In contrast, results were inconsistent regarding heart failure and myocardial reinfarction outcomes

Yes, L-carnitine is considered safe when used in the recommended doses