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Larger needles, rapid injections, or reused needles can be painful

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L-carnitine transporter and fatty acid oxidation-related L-carnitine deficiency were ruled out by normal renal excretion fraction of L-carnitine (Table 1) and by demonstration of a normal acylcarnitine profile in cultured fibroblasts incubated with palmitic acid and L-carnitine (Table S1)

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