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A few things could be going on: It's not fully dissolved: You might still have tiny gel bits floating in there

In: Katzung's Basic and Clinical Pharmacology

Osansky states that L-carnitine can help with hyperthyroidism by inhibiting thyroid hormone, thereby reducing cardiac symptoms associated with these conditions, such as high pulse rate and/or palpitations

10.1016/j.bpc.2022.106766 126 NussinovR.TsaiC.-J.JangH

Evidence on benefits beyond two years was more limited

Physical activity like gentle walking or light stretching can actually aid digestion and reduce nausea in some patients, but intense exercise on injection day may worsen symptoms