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Some side effects have been observed after high-dose supplementation of L-carnitine, such as diarrhea, intestinal problems, and trimethylamine production that causes a fishy odor

Weight loss generally begins within the first month but continues gradually for 9-12 months before plateauing

doi: 10.1038/nrn1517 30 KotaniY.ShimazawaM.YoshimuraS.IwamaT.HaraH

Transforming growth factor-, matrix metalloproteinases, and urokinase-type plasminogen activator interaction in the cancer epithelial to mesenchymal transition