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Use bacteriostatic water only not saline, which can precipitate the copper complex
Without a strong myelin sheath, nerves are exposed and become damaged, which may even lead to nerve cell death
Add liquid slowly during reconstitution Aim down the vial wall, not directly onto lyophilized powder
Theoretical concerns Copper accumulation: Each 2mg injection contributes about 0.03mg copper versus 0.9-2.2mg from daily diet
By facilitating removal of potentially toxic acyl groups and stabilizing cellular membranes, levocarnitine may support metabolic flexibility and protects against accumulation of organic acids
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