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Adults should take two capsules once daily with a meal or as directed by your health care professional

The simplest rotation method is the clock-face approach: imagine a clock face around each injection area and move to the next "hour" position each time you inject

Patients were randomized (sequential series of 4 per block, sealed envelopes, computer generated randomization code) to receive either an oral liquid formulation of L-Carnitine (4 g/d, obtained from Lonza, Basel, CH) or identically formulated placebo with follow up visits at 6 and 12 weeks after entry

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