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This is often linked to the gastrointestinal effects of the medication, such as delayed gastric emptying and gas buildup

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10.1038/s41569-018-0030-z Summary Keywords D-Gal, endothelial cell senescence, FOXO4-DRI, P53, ROS Citation Hu Z, Li F, Hu C, Shan Q, Tang Z, Jiang M, Yi X, Chen X, Jin L, Wang X and Wang Y (2026) FOXO4-DRI regulates endothelial cell senescence via the P53 signaling pathway

Pregnant and breastfeeding women should always consult with their healthcare provider before starting any new supplement, including carnitine, to ensure safety and proper dosage