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Individuals with defective carnitine transport have poor intestinal absorption of dietary L-carnitine, impaired L-carnitine reabsorption by the kidneys (i.e., increased urinary loss of L-carnitine), and defective L-carnitine uptake by muscles (4)

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Insulin resistance, the metabolic measurement most directly tied to PCOS pathology, improved from 80.4% to 50% of patients meeting criteria

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Now, this shouldnt significantly affect the stability of the drug if it wasnt shaken vigorously and the temperature was maintained