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Your gut is not just a tube for digesting food

Once reconstituted, use it immediately or store it at 28C for a short duration

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Your physician can assess whether dose optimization, combination therapy, or alternative treatment strategies are appropriate

Oyanagi E, Yano H, Uchida M, Utsumi K, Sasaki J (2011) Protective action of L-Carnitine on cardiac mitochondrial function and structure against fatty acid stress