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My reading of the online PDR showed minimal risk for side effects when combined.

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Propionyl-L-carnitine might increase the effects of warfarin (Coumadin) and increase the chances of bruising and bleeding. Be sure to have your blood checked regularly. The dose of your warfarin (Coumadin) might need to be changed. PROPIONYL-L-CARNITINE Dosing. The following doses have been studied in scientific research: Brass EP.

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