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The dirty little secret is the drug may need long-term use, but the real world is full of people who cannot or will not stay on it
For instance: Vitamin C : Increases estrogen absorption
Commonly reported side effects include: Nausea, vomiting, or stomach cramps Diarrhoea or loose stools A distinctive 'fishy' body odour, caused by the production of trimethylamine a metabolic by-product of carnitine breakdown in the gut These gastrointestinal effects are more likely at higher doses, particularly above 3,000 mg per day, and are consistent with adverse effects described in the levocarnitine SmPC
Supporting this, a study by Krebs (189) demonstrated that Lactobacillus probiotics induced substantial shifts in the gut microbiota of colorectal cancer patients, leading to improved mucosal structure correlated with enhanced colonization by Lactobacillus species
Want the wider field
This pain, which feels sharp, burning, or tingling, can be hard to handle
