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Toxicity Taking excessive amounts of carnitine can cause carnitine toxicity, which can include nausea, vomiting, diarrhea, abdominal cramps, and even a fishy body odor

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The connection makes physiological sense

Pancreatic B cells produced proinsulin, the insulin precursor, which consists of a single-chain protein Proinsulin, following Golgi apparatus processing, is packaged into granules where proteases proinsulin is hydrolyzed to insulin and C-peptide Pancreatic B cell granules store insulin in crystals, 2 atoms of zinc six molecules of insulin

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