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People with microbiomes enriched for TMA producing bacteria can also make more TMA from the same dose of L-carnitine and thus become symptomatic
or blood sugar below 70 mg/dL if you have diabetes
If a reconstituted vial accidentally freezes, discard it
Lyophilized (freeze-dried) powder stores in a freezer at -4F (-20C) for up to 24 months or in a refrigerator for up to 6 months
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