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You might be losing fat from your arms and legs while your waist stays the same or grows

While not a listed adverse reaction in the SmPC, persistent forceful vomiting can theoretically lead to Mallory-Weiss tearssmall lacerations in the oesophageal mucosa that may bleed

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Of course, the amount of L-Carnitine your body produces is not enough to make a dramatic difference in your fitness journey