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Bowel Obstruction: While very rare, severe constipation or persistent abdominal pain could indicate a bowel obstruction

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Uses O -Acetyl-L-carnitine hydrochloride may be used as a precursor for the preparation of O -Acetyl-L-carnitine, which in turn may be used as an analytical reference standard for the determination of the analyte in biological samples by hydrophilic interaction liquid chromatography-tandem mass spectrometry (HILIC-MS/MS) technique

Allergic reactions: Although rare, rash or allergic-type reactions have been noted in some cases