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[10] Gastrointestinal disturbances-including nausea, loose stools, and a transient fishy body-odor attributable to trimethylamine production from excessive carnitine and choline metabolism-occur in a minority of recipients and are usually self-limiting within 24 to 48 hours after injection

Probiotics may: Support gut comfort Reduce inflammation Help protect against antibiotic-related gut upset in patients recently on oral antibiotics for acne 3

Taking NAC as a supplement has been shown to significantly lower homocysteine and other cardiovascular risk factors

The patient would then self-administer these injections weekly for 1 month