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In total joint arthroplasty (TJA), wound complications, hematoma formation, and delayed drainage substantially increase susceptibility to periprosthetic joint infection (PJI), an outcome associated with revision surgery, prolonged antimicrobial therapy, and durable functional decline (Xiong et al

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Lastly, L-Carnitine may affect the absorption and efficacy of certain antibiotics, such as pivampicillin, so timing of administration may need to be considered to minimize interactions

Research has also linked choline deficiencies to nonalcoholic fatty liver disease [8]