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In rare reports this can have serious or fatal outcomes * seek urgent medical attention if you experience severe, persistent abdominal pain, that may radiate to your back and may be accompanied by nausea and vomiting, as this may be a sign of pancreatitis * do not restart GLP-1 receptor agonist or GLP-1/GIP receptor agonist treatment if pancreatitis is confirmed * report suspected side effects through the Yellow Card scheme

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Some studies suggest that high levels of L-carnitine may raise the long-term risks of cardiovascular diseases, though more research is necessary

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