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They can advise whether the medication is still safe to use based on how long it was outside the recommended temperature range

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A controlled human study did not find a significant effect on stimulated ACTH or cortisol release

Mol Cell Biochem 152(1):3137 Askarpour M, Hadi A, Miraghajani M, Symonds ME, Sheikhi A, Ghaedi E (2020) Beneficial effects of L-carnitine supplementation for weight management in overweight and obese adults: an updated systematic review and dose-response meta-analysis of randomized controlled trials