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The longer a vial sits, the higher the contamination risk, even in a refrigerator

Diabetic patients present with chronic hyperglycemia, and elevated glucose levels together with canonical hyperglycemia-associated metabolic pathways (polyol pathway, hexosamine pathway, protein kinase C activation, and advanced glycation end product accumulation) induce excessive ROS production to trigger oxidative stress (152155)

There are some very rare side effects listed in medical literature (mostly when large doses are given): for example, one out of many thousands of patients might develop a disturbance in liver enzymes or a tingling in the fingers or toes

Additionally, L-carnitine may contribute to faster post-exercise recovery by minimising muscle damage and soreness