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In chronic renal failure patients on dialysis, due to reduced dietary intake, limited endogenous synthesis, and clearance by hemodialysis, plasma free carnitine concentration can drop by 70%

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But practitioners and researchers have surfaced others that you may not have expected, like mood changes and hair thinning

The degradation is cumulative multiple short exposures add up

Reconstitute the 5 mg vial with 2 mL of bacteriostatic water, swirl gently, and store at 28C, using within 4 weeks

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