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The Cleveland Clinic also highlights how important it is to store and handle injectable drugs, like HCG, according to their expiration and safety instructions

Commonly reported side effects include: Nausea, vomiting, or stomach cramps Diarrhoea or loose stools A distinctive 'fishy' body odour, caused by the production of trimethylamine a metabolic by-product of carnitine breakdown in the gut These gastrointestinal effects are more likely at higher doses, particularly above 3,000 mg per day, and are consistent with adverse effects described in the levocarnitine SmPC

However, not every type of probiotics exhibits the same effects in the organism, and to obtain the optimal immunostimulatory results, probiotics should be selected thoughtfully based on the clinical state of the disease (113)

In contrast, eating too close to bedtime can cause gastrointestional discomfort and suppress melatonin, as insulin and other postprandial changes can modulate melatonin release, thus impairing sleep (Zuraikat et al., 2021)