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Additionally, it reduces appetite and food intake, contributing to weight loss

Common adverse effects include gastrointestinal symptomsnausea, vomiting, diarrhea, and constipationwhich are usually mild to moderate and diminish over time

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In this study, propionyl-L-carnitine decreased myocardial ischemia, evidenced by significant reductions in ST-segment depression and left ventricular end-diastolic pressure (62)

Its still important to report anything troublesome or unusual to your doctor, and they may adjust your dose or advise ways to alleviate symptoms (for example, taking with food to reduce nausea)