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Using sterile water in a multi-dose vial creates a contamination risk once the stopper is punctured
The short answer: Yes, but usually mild and rare when taken at recommended doses
Katie Rizzone, a sports-medicine specialist at the University of Rochester
That formulation rationale may be one reason a brand or shopper chooses the ingredient, but it should not be translated automatically into claims of proven maximum absorption, guaranteed bioavailability or superior visible results
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![PDF] Effect of L-carnitine and/or L-acetyl-carnitine in nutrition treatment for male infertility: a systematic review](https://figures.semanticscholar.org/06269f6ad59b5affb0b655ccbe7d7855b60e012f/3-Table1-1.png)
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