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Fourth, as discussed previously, we did not include a nonbipolar disorder comparison group in the imaging study, making it difficult to assess the degree of mitochondrial dysfunction at baseline in our study cohort

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On protease inhibitor use, a paper in 2008 by Ellis et al

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Potential overdose side effects Carnitine is generally well-tolerated , but some potential side effects may include: Gastrointestinal issues : In some cases, carnitine supplementation can cause mild gastrointestinal symptoms like nausea, vomiting, abdominal pain, and diarrhea