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Sharma, H

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Minimal side effects have been reported, and may include nausea, abdominal cramps, and diarrhea[6] L-carnitine may increase the effects of blood thinners like Coumadin (warfarin) and Sintrom (acenocoumarol), causing excessive bruising or bleeding

109 Overall, there is a close association between TMAO and renal function, CKD, and cardiovascular outcomes in patients with CKD

However, exposure to high glucose conditions did increase mRNA expression and membrane-bound DPP-4 activity in human glomerular (76) and dermal (77) microvascular endothelial cells in vitro , although, interestingly, not in macrovascular (human aortic) endothelial cells (77)