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L-carnitine side effects are generally mild but may include: Nausea, vomiting, or abdominal cramps Diarrhoea or heartburn A 'fishy' body odour (due to trimethylamine production by gut bacteria) Rarely, restlessness or sleep disturbances High doses of L-carnitine (above 3g daily) have been associated with increased seizure frequency in individuals with seizure disorders

While there is a possibility that you may find other forms of DSIP in some local online stores, I would highly suggest you use the injectable forms owing to the greater bioavailability

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Yearly stepwise increments of the growth hormone dose results in a better growth response after four years in girls with Turner syndrome