Figure 1 Table 1 Included randomized controlled studies
Wang, X., Liu, B., Xu, Q., Sun, H., Shi, M., Wang, D., Guo, M., Yu, J., Zhao, C., & Feng, B
Safety Considerations Common Mild Side Effects Nausea and stomach discomfort Diarrhea Fishy smell in breath or sweat (rare) Who Should Consult a Doctor First Individuals with heart diseases People with kidney problems Those with hormonal disorders Pregnant and nursing women Research Consideration: TMAO Some studies raise concerns about high levels of L-Carnitine from supplements possibly leading to increased TMAO (trimethylamine-N-oxide) production, which has been associated with higher risk of heart diseases
LPS within research limits
However, if you don't mind stevia, it's a solid option for active individuals following a plant-based diet