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L-Carnitine forms are usually higher-dose materials, and many are hygroscopic, which can reduce flowability, increase clumping risk, and create capsule-weight variation under poor humidity control
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Mostly, these are related to its digestive mechanism of action and may include constipation, diarrhea, indigestion, bloating, belching, abdominal pain, nausea, and vomiting
Side effect counselling, injection technique, drug interactions and sharps disposal are all pharmacist responsibilities and patient touchpoints
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