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L-Carnitine: L-Carnitine, an amino acid derivative, serves as a crucial cofactor in the transportation of fatty acids into the mitochondria, where they undergo oxidation to produce energy

If the manufacturer of a medication specifies a particular diluent (e.g., sterile saline), bacteriostatic water should not be substituted unless approved, and if used, the osmolarity of the mixture must be considered

Any excessive skin laxity should be referred to a plastic surgeon if the patient is interested in surgical interventions

However, the individual evidence for each compound is so robust, and the mechanisms so complementary, that the case for combining them is strong