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Do not use this medicine without a doctors advice if you are pregnant or breastfeeding Carnitine: Rare but Possible Side Effects:People taking carnitine have reported a number of side effects, including: nausea and vomiting, diarrhea, stomach pain, headaches, trouble sleeping, higher blood pressure, lower blood sugar and higher triglycerides (in people with diabetes, Psychosis (in people with bipolar disorder) Carnitine may not be safe for people with: Bipolar disease, Neuropathy, Hypothyroidism, Seizures Vitamin B1: You should not use thiamine if you have ever had an allergic reaction to it