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In the acute phase of liver disease, characterized by intense inflammation or Liver Fire in TCM theory, the primary goal is to provide rapid hepatoprotection and anti-inflammatory effects

Ann Pharmacother 34(5):630638 Rasmussen J, Duno M, Lund AM, Steuerwald U, Hansen SH, Joensen HD, Kober L, Nielsen OW (2020) Increased risk of sudden death in untreated primary carnitine deficiency

Chronic stress can also increase inflammation and disrupt muscle repair, which further promotes muscle breakdown

Typical clinical guidance includes: Inject once weekly Administer subcutaneously (under the skin) Common injection sites include abdomen, thigh, or upper arm Use the medication on the same day each week The injection may be taken with or without food

A comparison of two meta-analyses with the subjects of NAC and l-carnitine supplementation on inflammatory and oxidative stress biomarkers revealed that NAC had better effects than l-carnitine (Reference Faghfouri, Zarezadeh and Tavakoli-Rouzbehani6,Reference Fathizadeh, Milajerdi and Reiner44)