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Supplements containing a mixture of the D- and L-isomers (D,L-carnitine) have been associated with muscle weakness in patients with kidney disease

When patients receive a multi-dose vial with syringes and instructions to measure their own injections, confusion between milligrams and syringe units has led people to administer many times the amount intended, with poison control centers reporting a rise in such calls

doi: 10.1016/j.ejcb.2019.151058 200 LuYZhuYFengSCongQChenSZengYet al

However, it normally goes away within 6 months to 2 years

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