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Yes, exceeding your individually titrated dose in one injection can trigger overdose-like symptoms within hours: severe nausea, vomiting, and dehydration
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Das SR, Everett BM, Birtcher KK, Brown JM, Cefalu WT, Januzzi JL Jr, Kalyani RR, Kosiborod M, Magwire ML, Morris PB, Sperling LS
Arduini A, Dottori S, Sciarroni AF, Corsico N, Morabito E, Arrigonimartelli E, Calvani M (1995) Effect of propionyl-l-carnitine treatment on membrane phospholipid fatty-acid turnover in diabetic rat erythrocytes
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