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PLoS ONE 5 , e10161 (2010)

Long-Term Success May Be More Challenging Frequent cycles of starting and stopping weight loss medications can disrupt metabolism and make it harder to maintain weight loss long-term

Less common B12 shot side effects include : Chest tightness Skin rash or hives Dizziness Difficulty breathing A blue tint to the skin Call your doc ASAP if you notice any of these negative effects

Despite its great safety record, experts at the University of Maryland Medical Center advise people with the following conditions to discuss L-Carnitine supplementation with their physician before taking it: Peripheral vascular disease Hypertension Alcohol-induced liver disease Diabetes Kidney disease About Fatty Liver Disease Fatty liver refers to the infiltration of triglycerides and other fats into the liver cells, causing abnormal liver tests, inflammation and possible permanent liver damage