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As shown in Scheme 6

It's a full-scale metabolic shift

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Increased gastric content due to delayed gastric emptying might have a negative impact on medical procedures performed under monitored sedation, such as esophagogastroduodenoscopy (EGD) or colonoscopy

Ultimately, these findings suggest that the parent compound does not accumulate significantly in specific organs (71)

Here are a few potential side effects of L-carnitine supplements: 1