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Pre-existing hepatic conditions require careful evaluation

For the incubation of metabolites with -D-glucosidase (E.C

The most commonly reported effects are gastrointestinal nausea, cramping, or loose stools at the higher end of oral dosing, and a distinctive fishy body or breath odor caused by trimethylamine, a metabolite of carnitine

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Spacer Modication: Between the lysine and this modication structure, there is a spacer composed of glutamic acid and a 2-[2-(2-aminoethoxy)ethoxy]acetic acid dimer4

PMC 311072