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Store in a cool, dry place below 25C, away from direct sunlight

Chronic administration of high doses of oral levocarnitine in patients with severely compromised renal function or in ESRD patients on dialysis may result in accumulation of the potentially toxic metabolites, trimethylamine (TMA) and trimethylamine-N-oxide (TMAO), since these metabolites are normally excreted in the urine

Regular monitoring, patient education, and a willingness to adjust treatment plans as needed are essential components of effective care

The powder should dissolve into a clear, colorless solution