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[21] Mild, short-lived pain or redness at the site is the most frequently reported reaction and usually resolves within minutes

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Pleiotropic effects of the carnitine pool Carnitine can be combined with fatty acid chains of different lengths to derive a variety of acylcarnitines, which are amphiphilic because they contain hydrophilic quaternary ammonium groups and hydrophobic carbon chains [5], and acylcarnitines of different chain lengths have diverse chemical structure and metabolic pathways, making them widely involved in pathophysiology

It's generally well-tolerated, with rare side effects including indigestion or fatigue at higher doses