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Loose stools or mild stomach upset early on Occasional nausea when given on empty stomach Rare fishy body odor from high L-carnitine doses Temporary loss of appetite in sensitive dogs Restlessness at very high L-carnitine amounts Symptoms usually ease within a few days Always report ongoing reactions to your veterinarian Give supplements with food to reduce stomach upset

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Genchi VA, Rossi E, Lauriola C, DOria R, Palma G, Borrelli A et al

Journal of Cosmetic Dermatology, 11: 3036 (2012)

In MMAemia patients and animal models, mitochondrial structural abnormalities (including mitochondrial swelling and disorganized cristae) are observed across multiple tissues including the liver, kidney, heart, and skeletal muscle (Klker et al