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On rare occasions, some individuals may experience mild side effects such as slight nausea or minor stomach upset

Supplementation with acetyl-l-carnitine, the acetylated derivative of l-carnitine, also decreased physical and mental fatigue in subjects 70 year old [50]

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Another case report concludes that IgG4-related autoimmune disease should be considered for diagnosing cases with tubulointerstitial nephritis and multisystem involvement, and that mCRP autoantibodies could be related to IgG4-related tubulointerstitial nephritis and might be useful as an indicator of this condition [164]