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Treatment priorities : Will the supplement support or potentially complicate the primary treatment goals

Fishy body odor: Carnitine supplementation at approximately 3 g/day can cause urine, breath, and sweat to have a fishy odor [1][7]

Evidence Strength Grade B) Guideline Statement 9 Clinicians should counsel patients with Peyronie's disease prior to beginning treatment with intralesional collagenase regarding potential occurrence of adverse events, including penile ecchymosis, swelling, pain, and corporal rupture

Serum levels of carnitine in chronic fatigue syndrome: clinical correlates