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Sainz RM, Lombo F, Mayo JC

Due to defective renal absorption (free) carnitine is excreted in the urine of patients with primary deficiency and can result in tissue carnitine levels dropping to below 10% of normal [14, 22, 2426]

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Short-term temperature fluctuations during transit do not affect their quality or potency even at high summer temperatures, lyophilized peptides remain stable for several weeks

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Horm Res 49:9197 Cutfield WS, Lindberg A, Rapaport R, Wajnrajch MP, Saenger P (2006) Safety of growth hormone treatment in children born small for gestational age: the US trial and KIGS analysis