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Discuss with your endocrinologist If you have a seizure history: high-dose L-carnitine has been associated with increased seizure frequency in susceptible individuals in rare reports A 2013 Cleveland Clinic study raised concern about gut bacteria converting L-carnitine to TMAO (trimethylamine N-oxide), a compound associated with cardiovascular risk

Unlike certain oral medications that undergo extensive liver metabolism, BPC-157 has not been strongly linked to liver injury in available research