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Side effects of L-carnitine therapy: Common side effects of IV carnitine therapy include: Nausea, Vomiting, Diarrhea Pain or redness at the injection site Rash, itching, swelling, breathing difficulty (less common) Fishy body odor Dizziness Headache Weakness Effect of L-Carnitine on Brain Function: L-carnitine, particularly its acetyl-L-carnitine, can cross the blood-brain barrier (BBB) and is thought to have neuroprotective properties

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In a briefing document ahead of the committee meeting, the FDAs internal reviewers flagged an excess risk of thrombosis and related deaths in patients treated with Andexxa versus standard care

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