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This rare condition can lead to: low plasma carnitine progressive cardiomyopathy, or heart muscle disease skeletal myopathy hypoglycemia hypoammonemia weak muscles in the hips, shoulders upper arms, legs, neck, and jaw muscles Untreated it is fatal

Hansen HS, Rosenkilde MM, Holst JJ, Schwartz TW

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Lyophilized storage: Keep the sealed vial cool, dry, and protected from light