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[DOI] [PMC free article] [PubMed] [Google Scholar] 61.Riabov V, Gudima A, Wang N, Mickley A, Orekhov A, Kzhyshkowska J

32 Nucleophilic Substitution Reaction of the Hydroxyl Group on L-Carnitine with Propionyl Chloride The hydroxyl group on L-carnitine can also react with nitric acid to form organic nitrate salts

doi: 10.1097/SHK.0000000000001936 35 MinagawaSYoshidaMArayaJHaraHImaiHKuwanoK

Skin that feels warm to the touch

For a step-by-step technique, see standard patient education materials
