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Common side effects like nausea and constipation do not indicate heart problems and usually improve within 2-4 weeks

Levtchenko EN, van Dael CM, de Graaf-Hess AC, Wilmer MJ, van den Heuvel LP, Monnens LA, Blom HJ (2006) Strict cysteamine dose regimen is required to prevent nocturnal cystine accumulation in cystinosis

coli, which is then chemically modified to attach the fatty acid chain