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The dosing follows a strict five-step escalation protocol

Euglycemic ketoacidosis has been reported, mainly in insulin-treated T2DM patients

Only a fraction of the dose is thought to enter the endogenous carnitine pool largely found in skeletal muscle (reviewed in 8)

If the breastfeeding parent isnt eating enough or is experiencing significant side effects, that would impact caloric intake and hydration, which are two key factors for healthy milk production, she says