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It is naturally made in the body and has no known major negative effects when taken in the recommended amounts
Clinical trials reported that the intake of some nutraceuticals (Hawthorn, Coenzyme Q10, L-carnitine, D-ribose, Carnosine, Vitamin D, Probiotics, Omega-3 PUFAs, Beet nitrates) is associated with improvements in self-perceived quality of life and/or functional parameters such as ejection fraction, stroke volume and cardiac output in HF patients, with minimal or no side effects
Conversely, some patients may experience fatigue as a side effect, leading to reduced activity and subsequent joint stiffness