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Adverse Events with a Frequency 5% Regardless of Causality by Body System The following adverse reactions have been reported: Neurologic Reactions: Seizures have been reported to occur in patients, with or without preexisting seizure activity, receiving either oral or intravenous levocarnitine

TMAO is thought to protect against urea buildup and also mitigate the effects of pressure (useful for fish under the sea, not so useful for us), and interestingly it is the breakdown of TMAO into TMA (trimethylamine) which gives rise to that distinctive seafood smell

CrossRef Difficult to treat and refractory autoimmune hepatitis: Recent advances in pharmacological management Sayan Malakar, Umair Shamsul Hoda, Suprabhat Giri, Arghya Samanta, Akash Roy, Rajat Gupta, S Rakesh Kumar, Mayank Agarwal, Anubhav Pawar, Sumit Rungta, Uday C Ghoshal World Journal of Hepatology .2025;[Epub] CrossRef Long-Term Prednisone Use Increases Hepatocellular Carcinoma Risk in Autoimmune Hepatitis Cirrhosis: A Retrospective Cohort Study Jessica Liu, Rami Hemadeh, Abdelrahman M