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Carnitine deficiency induced by pivampicillin and pivmecillinam therapy

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While more clinical research is needed to see if they specifically boost each other's absorption, the anecdotal evidence from athletes and military personnel suggests that this "stack" is a reliable way to support performance without the need for heavy stimulants

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Some of the most common side effects in clinical trials included nausea, diarrhea, decreased appetite, vomiting, constipation, indigestion (dyspepsia), and stomach (abdominal) pain