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An incorrect diluent volume, a contaminated vial, or improper storage can render an entire vial unusable or produce doses that are off by a factor of ten

Recently, Pescosolido and colleagues [161] evaluated the presence of carnitine in tears of dry eye patients and suggested that the damage incurred on the ocular surface of dry eye patients may, in part, be due to a lack of carnitine in the tear film of these patients relative to the ocular surface cells and suggested use of solutions containing carnitine to reduce this damage

This is not FDA approval and can be revised or withdrawn