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For L-carnitine deficiencies: Doses of 50 mg/kg of L-carnitine have been given as a slow injection or by infusion followed by 50 mg/kg of L-carnitine in divided doses every 3 to 4 hours over the next 24 hours

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Gastrointestinal adverse effects are the most frequently reported and include: Nausea (very common, affecting more than 1 in 10 people according to the SmPC) Vomiting Diarrhoea Constipation Abdominal pain or discomfort These symptoms are usually mild to moderate, transient, and tend to improve over time as the body adjusts to the medication

Xue et al., 2004