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It is possible that endogenous carnitine stores are inadequate in dealing with the influx of acetate and acetylCoA produced following EtOH consumption and carnitine supplementation could prevent or reduce alcoholic liver disease, even in incidence where plasma carnitine is already increased

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Although serious GI tract ulcerations and bleeding can occur without warning symptoms, patients should be alert for the signs and symptoms of ulcerations and bleeding, and should ask for medical advice when observing any indicative sign or symptoms including epigastric pain, dyspepsia, melena, and hematemesis