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Rarer side effects include: muscle weakness in uremic patients seizures in those who already have seizure disorders People should be especially sure to inform their doctor before using it as a supplement if they have: diabetes kidney disease high blood pressure cirrhosis Carnitine can interact with phenobarbital, valproic acid, phenytoin, carbamazepine, and some antibiotics, but there is no evidence that these can lead to a deficiency

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Some individuals may experience a modest reduction in weight, while others may not see significant changes

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