The standard dose is 100 to 300 mcg injected subcutaneously 30 to 60 minutes before bed
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Sterile water, by contrast, has no such protection once opened, its generally recommended for immediate, single-use only, with any leftover discarded the same day
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Results can vary depending on the population (for example, athletes, people with diabetes or patients on dialysis), the form used (L-carnitine or acetyl-L-carnitine) and baseline status