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[8] L-carnitine has been reported to potentiate the anticoagulant effect of warfarin through unknown mechanisms, with case reports documenting supratherapeutic international normalized ratios after initiation of parenteral carnitine in malnourished adults

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Today, it has two manufacturing facilities in Houston comprising 212,000 square feet

The resulting product undergoes testing for potency, sterility, and endotoxins