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Commonly reported side effects include: Nausea, vomiting, or stomach cramps Diarrhoea or loose stools A distinctive 'fishy' body odour, caused by the production of trimethylamine a metabolic by-product of carnitine breakdown in the gut These gastrointestinal effects are more likely at higher doses, particularly above 3,000 mg per day, and are consistent with adverse effects described in the levocarnitine SmPC
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Additional monitoring of lithium levels may be necessary, especially during the first few weeks of treatment or after dose increases
Eat Plenty of Fiber to Beat Constipation An overall plant-based diet is your best bet during menopause, which can feed the good bacteria in the gut and keep gut health inflammation and menopause-related GI symptoms at bay, explains Hillary Wright, RDN, a dietician expert at Roon, a video Q&A healthcare startup, and co-author of The Menopause Diet Plan
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