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When a clinically significant carnitine deficiency is documented-such as in primary systemic carnitine deficiency, certain inborn errors of metabolism, or patients on chronic hemodialysis-injectable therapy is prescribed because it may restore blood and tissue levels more rapidly than oral supplements

Castellucci, V

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This distinction highlights the importance of differentiating signaling-mediated antioxidant effects from substrate-dependent determinants of membrane resilience

After the run-in period, patients with inadequate glycemic control (A1C 7.5% to 11%) were randomized to the addition of either 100 mg of JANUVIA or placebo, administered once daily