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Side effects of using carnitine supplements may include: Nausea (feeling like youre going to throw up) Heartburn Flu-like symptoms (such as a cough, fever, or chills) Headache Diarrhea (loose or watery bowel movements) High blood pressure Body odor Talk with your healthcare provider if youre taking blood thinners such as warfarin (Coumadin), clopidogrel (Plavix), apixaban (Eliquis), or rivaroxaban (Xarelto)

However, many people find that their body adapts more quickly to each subsequent dose increase because the underlying mechanisms (caloric deficit, metabolic adaptation) are already partially adjusted