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Karnitine Injection is usually a safe medicine, however, it may cause nausea, vomiting, diarrhea, abdominal pain, and reactions at the site of injection such as swelling, redness, and pain

Mild digestive discomfort may occur at high doses, but it is generally safe for healthy individuals

In fact, it accounts for only 3% of cases

Effect of L-carnitine investigation for valproate-induced hepatotoxicity [PMID: 11839873] Laboratory literature summary: Effect of L-carnitine investigation for valproate-induced hepatotoxicity

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