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However, this effect can also lead to gastrointestinal adverse effects, including nausea, vomiting, diarrhoea, and constipation , which are among the most commonly reported side effects

Hudson & Tabet 2003 Cochrane Review: A Cochrane Review of 15 clinical trials (including 13 of those in the meta-analysis above) assessed 1 to 3 g/day ALCAR supplementation versus placebo over 12 to 52 weeks in participants with mild to moderate dementia or cognitive decline