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Saline (0.9% sodium chloride) is another option sometimes mentioned, but it can occasionally cause peptide aggregation or affect solubility, depending on the specific amino acid sequence

These studies demonstrate that L-carnitine is primarily a substance that optimizes cellular function

A 2025 review in Otology & Neurotology of FDA adverse-event reports looked at how often this happens

Finally, 92 articles fulfilled the inclusion criteria and were included in the current unsystematic narrative review

The HAIR model, for instance, demonstrated high diagnostic performance with an area under the receiver operating characteristic curve (AUROC 0.90, sensitivity 80%, and specificity 89%) 70

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