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Levocarnitine is widely used for a variety of purposes and has many applications in the food, pharmaceutical, and cosmetic industries

Since then, I feel like Ive put up a front that everythings fine because it was a little bit traumatizing

Approaches that patients report working: eat a protein-containing meal beforehand rather than arriving hungry, order a drink you can nurse slowly, keep a sparkling water with lime in hand between drinks so you are holding something, decide your limit before you arrive rather than in the moment, and have a simple non-explanatory answer ready if someone comments on your intake

Some variants have clear structural explanations for their loss-of-function, for example, variants can disrupt binding of carnitine (R471C/H/P), affect the Na + -binding site (N32S), disrupt the TM2-TM11 H-bonding network (S467C) or perturb gating residues conserved in OCTs/OATs (R169Q/P/W)