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O'Brien S, Giles F, Talpaz M, Cortes J, Rios MB, Shan J, Thomas D, Andreeff M, Kornblau S, Faderl S, Garcia-Manero G, White K, Mallard S, Freireich E, Kantarjian HM

If the solution freezes or gets too warm during transit, its integrity is compromised

Key sources include: Red meat such as beef, lamb, and pork Poultry including chicken and turkey Fish like cod, salmon, and tuna Dairy products such as milk, cheese, and yogurt Plant-based sources including avocados, soybeans, and tempeh Because plant sources contain much lower amounts of L-carnitine, vegetarians and vegans may struggle to obtain sufficient levels through diet alone

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Unreconstituted powder should be kept in a cool, dark place and can be refrigerated for extended shelf life