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The biosynthesis of carnitine requires the flux of its intermediates through different organelle membranes, and the majority of carnitine synthesis occurs in the liver, with additional synthesis in the kidneys and brain

Do not inject two doses at once to make up for a missed one

Additionally, patients need to purchase injection supplies such as needles and sharps containers, though these are relatively inexpensive (usually under 10 monthly)

Scand J Immunol (2019) 89(5):e12757

[DOI] [Google Scholar] (161).Soni S Trends in Lipase Engineering for Enhanced Biocatalysis

Store reconstituted vials properly (refrigerated, protected from light), and respect expiration dates to ensure potency and sterility