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This monitoring should include blood chemistries, vital signs, plasma carnitine concentrations (the plasma free carnitine concentration should be between 35 and 60 mol/L) and overall clinical condition

10.1172/jci105685 62 Pfizer

However, avoid adding excessive sugar, and monitor how caffeine affects any nausea or gastrointestinal symptoms you may experience

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The company stopped making the drug in 2021, after the FDA began requiring pharmacies to obtain a new license to produce it