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Acceptable limits follow ICH Q3D guidelines for elemental impurities

L-carnitine is a naturally occurring compound involved in energy metabolism

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Protective mucus in the GI tract consists of a sticky, negatively charged mesh that slows the diffusion of large, hydrophilic macromolecules while continuously turning over, thereby pulling material away from the epithelium

In a small but critical subset, left arm symptoms accompany heart attack or strokemedical emergencies that need immediate attention