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medical centers says the offending ingredient is L-carnitine, a compound that is abundant in red meat

Journal of Cerebral Blood Flow & Metabolism 2003

Mitochondria and Calcium in Alzheimers Disease: From Cell Signaling to Neuronal Cell Death

Because muscle tissue contains larger blood vessels and nerves, IM injection carries a higher risk of accidental intravascular injection, nerve irritation, and deeper bleeding, and it requires more careful anatomical knowledge