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It was demonstrated in animal studies that unabsorbed quaternary amines such as choline, phosphatidylcholine, betaine or l-carnitine can be metabolized by gut microorganisms to produce the intermediate compound trimethylamine (TMA)

FEBS Lett

QUELS SONT LES ALIMENTS RICHES EN L-CARNITINE

Chewable forms of this medication should be chewed thoroughly before swallowing

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Hypersensitivity Reactions: Rash, urticaria, and facial edema have been reported with oral levocarnitine (see WARNINGS)