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If it exceeded 86F at any point you can verify (in a car, on a heater, in direct sun), assume the medication is compromised

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These results suggest that at least 1 g/d of L-carnitine should be consumed to improve metabolic syndrome biomarkers, the researchers said

It may occur through mechanisms including hypoglycaemia (especially when combined with insulin or sulphonylureas), dehydration from gastrointestinal side effects, orthostatic hypotension, or reduced caloric intake