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Acetyl-L-carnitine side effects and safety Although ALCAR does not have an established tolerable upper intake level, doses of 3 grams or more per day can cause nausea, vomiting, abdominal cramps, diarrhea, and a fishy body odor

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Some users also report mild facial flushing or a feeling of warmth shortly after administration, which indicates the peptide is active in their system