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24,25,26 In rare cases, isolated renal injury, cardiac toxicity, and pancreatitis may occur

One enrolled vegan/vegetarian subject was later excluded as a result of reported nausea and a low BMI, 1 omnivorous subject declined the challenge after being enrolled and giving consent, 3 subjects enrolled in the antibiotic suppression arms did not tolerate the antibiotics (gastrointestinal distress) and were thus excluded from the study, and 2 subjects admitting noncompliance with daily l-carnitine supplementation were only included in baseline challenge studies

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