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The dose-escalation approach (starting lower and building up gradually) exists specifically to make that adjustment more manageable

If a dose of Karnitine Injection is missed, it's advisable to consult your doctor

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Mol Cell Biol 20:18681876 Vernon AC, Zbarsky V, Datla KP, Croucher MJ, Dexter DT (2007) Subtype selective antagonism of substantia nigra pars compacta Group I metabotropic glutamate receptors protects the nigrostriatal system against 6-hydroxydopamine toxicity in vivo