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Sublingual: a quick once-a-day drop under the tongue
Most people notice reduced appetite within the first 1-2 weeks
A larger 2018 meta-analysis by Tabrizi et al
FDA-Approved Clinical Indications Primary Indication Management of Resistant Anemia and Muscle Cramps: Specifically indicated for the treatment of carnitine deficiency in dialysis patients to improve the response to Erythropoiesis-Stimulating Agents (ESAs) in cases of resistant anemia and to reduce the frequency and severity of intradialytic skeletal muscle cramps
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