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Generally well-tolerated with minimal reports of mild headaches or nasal irritation

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Because adequate, well-controlled studies in pregnant individuals are lacking, use should be limited to circumstances in which the potential maternal benefit clearly outweighs theoretical fetal risk-such as treatment of documented systemic carnitine deficiency

Follow your providers recommended frequency (typically weekly B12 or once-twice weekly lipo shots) consistentlymore frequent dosing wont improve results and may increase side effect risk