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The common effects GI upset and the fishy odor are dose-related, benign, and reversible, and the controlled trials report good overall tolerability without serious adverse events as a feature

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Our data were consistent with those of a single-center randomized control trial [50], which showed that oral L-carnitine supplementation for 6 months significantly increased the serum levels of low-density lipoprotein cholesterol (LDL-C) and triglycerides in patients on hemodialysis