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In concrete terms, L-carnitine is a compound naturally present in the body

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Talking to a doctor about over-the-counter remedies that may be appropriate for managing nausea, constipation, or diarrhoea

Those with dermatomyositis, scleroderma, or lupus may have skin changes at potential injection sites that require careful site selection

By starting with smaller, more frequent doses and titrating up very gradually (e.g., monthly adjustments instead of weekly), the body has more time to adapt, leading to fewer and less severe side effects