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This is where your long-term storage strategy comes into play

Cardiovascular-Kidney-Metabolic Health: A Presidential Advisory From the American Heart Association

For example, Ceriello et al

Generic Name: Levocarnitine US Brand Names: Carnitor, L-Carnitine Injection Drug Category: Nephrology Drug Class: L-Carnitine (IV) / Metabolic Modifier Route of Administration: Intravenous (IV) Bolus (Primary in Nephrology) or Oral FDA Approval Status: Fully FDA-approved for the prevention and treatment of carnitine deficiency in patients with end-stage renal disease who are undergoing dialysis

Pregnancy is an absolute contraindication