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For multi-dose use, bacteriostatic water is essential as its preservative, benzyl alcohol, prevents bacterial growth after the stopper has been punctured

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The lack of a difference in thyroid indices is consistent with previous findings, which suggest that L-carnitine has a peripheral action, rather than directly inhibiting the thyroid gland or influencing hypothalamicpituitary feedback

Sehnem L, Noureldine SI, Avci S, Isiktas G, Elshamy M, Saito Y, Ahmed AHA, Tierney HT, Trinh LN, Karcioglu AS, Cheung AY, Otremba M, Krishnamurthy V, Heiden K, Jin J, Shin J, Siperstein A, Zafereo ME , Tufano RP, Randolph GW, Kebebew E, Milas M, Duh QY, Berber E