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How to catch it: Check the vial label every time you receive a new shipment, even if it's from the same pharmacy
Clinicians should enquire about the presence of a prior acute illness suggestive of a viral infection
muscle changes
Overall, patients may feel generally icky, says Rao
These allosteric effects can be modulated through the action of carnitine acetyltransferase (CAT), a mitochondrial isoenzyme that transfers the acetyl groups from acetyl-CoA to carnitine, forming acetylcarnitine
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