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Generally well-tolerated: Clinical trials report good safety profiles with parenteral L-Carnitine, even at high doses (up to 50 mg/kg IV daily) [5] [8]

Watch for signs of lactic acidosis with metformin (unusual muscle pain, difficulty breathing, severe weakness) and monitor for hypoglycemia symptoms if taking other diabetes medications

Vigh JP, Kincses A, Ozgr B, Walter FR, Santa-Maria AR, Valkai S, et al