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The only benefit may be the possibility of pyruvate decarboxylation by the pyruvate dehydrogenase complex (PDC) [96], which produces the equimolar amount of NADH
13(4): 692 Di Cesare Mannelli L, Ghelardini C, Toscano A, Pacini A, Bartolini A (2010) The neuropathy-protective agent acetyl-l-carnitine activates protein kinase C- and MAPKs in a rat model of neuropathic pain
It covers the provider's work in administering the injection, not the drug itself
If pain worsens or the bump enlarges, an evaluation for incision or antibiotics may be needed
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