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Ending the ability of compounding pharmacies to make these drugs is no small deal

2013: 767482 Nutritional supplementation and dietary restriction in the resolution of enthesitis-related arthritis

Chronic oral administration of high doses of levocarnitine in patients with severely impaired renal function or end-stage renal disease (ESRD) and dialysis patients may lead to accumulation of the potentially toxic metabolites trimethylamine (TMA) and trimethylamine-N-oxide (TMAO), as these metabolites are normally excreted in the urine

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