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Regarding interactions, L-carnitine has been described as possibly acting as a peripheral antagonist of thyroid hormone action in certain contexts, or interacting with anticoagulants
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The most pronounced differences were observed in gastrointestinal and metabolic events: nausea (combination: n = 9651 vs monotherapy: n = 38,030), vomiting (4383 vs 17,062), pancreatitis (1389 vs 6655), and hypoglycemia (773 vs 1778)
Two months is a conservative recommendation that errs on the side of caution, she says