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The most commonly reported side effects include: Mild injection site pain, redness, or swelling Nausea or gastrointestinal discomfort Fishy body odor due to trimethylamine accumulation at higher doses Increased heart rate in sensitive individuals Allergic reactions rash, itching, swelling are rare but possible in patients with hypersensitivity to L-Carnitine

Most common, typically resolving quickly

A low-FODMAP diet is typically low in fiber, but reducing fiber may be a good addition to a low-histamine diet

Suitability requirement: Patient should not be breastfeeding or pregnant

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