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[10] Gastrointestinal disturbances-including nausea, loose stools, and a transient “fishy” body-odor attributable to trimethylamine production from excessive carnitine and choline metabolism-occur in a minority of recipients and are usually self-limiting within 24 to 48 hours after injection

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A higher band of about 500 mcg twice daily appears in short-term acute-injury research planning