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A hypoketotic result (low blood sugar with no ketones) is a major red flag for an SPCD crisis [1] [14]

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Additionally, by improving endothelial blood flow and oxygenation to the muscle tissues during exertion, L-carnitine reduces the severity of localized cellular hypoxia

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State Appearance Storage Clear after reconstitution Notes If the solution is cloudy, contains particles, or has changed color, do not use it