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Side Effects : Mild injection site discomfort, gastrointestinal upset, rare body odor changes Contraindications : Known hypersensitivity to carnitine compounds Caution in patients with seizure history, as high doses may lower seizure threshold Drug Interactions : May enhance effects of thyroid medications and anticoagulants

The menthol in peppermint helps soothe the muscles of the gastrointestinal tract, easing the discomfort associated with nausea

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Additionally, in a study of patients who underwent bariatric surgery, CK-18 levels were found to indicate continued liver damage after surgery [223]

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