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Am J Med 105:54S-58S Tomassini V, Pozzilli C, Onesti E, Pasqualetti P, Marinelli F, Pisani A, Fieschi C (2004) Comparison of the effects of acetyl l-carnitine and amantadine for the treatment of fatigue in multiple sclerosis: results of a pilot, randomised, double-blind, crossover trial
They are, however, less well tolerated than DPP-4 inhibitors, with gastro-intestinal side-effects of nausea, vomiting and diarrhoea being common following initiation (although these diminish over time in most subjects)
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