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These include: Nausea and vomiting (very common, affecting more than 1 in 10 people) Diarrhoea or constipation Abdominal pain and bloating Reduced appetite , which whilst therapeutically beneficial for some, may be problematic for others These gastrointestinal symptoms typically improve over time as the body adjusts to the medication, but they can occasionally be severe enough to require dose reduction or discontinuation

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Growth hormone secretagogues are also mentioned in performance medicine circles

Half of the studys male participants took a carnitine supplement and drank a carbohydrate beverage twice a day