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W., and Sheng, J

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For acetyl-L-carnitine allergies, avoidance remains the primary management strategy, along with working closely with an allergist to identify safe alternatives

Because the area is numbed with local anesthesia, there is minimal discomfort during the procedure

We always frame it that way so you know what to expect and can build a routine that actually lasts

Investigators tapered or paused doses if intolerance developed (57.4% maintained maximum dose at week 68