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Once the cause is clearer, treatment can be more targeted, safer, and more effective

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Discard used syringes immediately in a sharps container per WHO guidelines [7]

Moreover formulation (L-carnitine vs propionyl-/acetyl-L-carnitine), dose, route, timing relative to ischemia/reperfusion, and treatment duration of L carnitine (short peri-procedural courses vs chronic supplementation) may contribute to these differences (Da Silva Guimares et al