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Mild allergic reactions, limited to localized redness and itching, can often be managed at home with over-the-counter hydrocortisone cream and oral antihistamines
In an aqueous solution, L-carnitine is freely soluble and its ionizable groups, COO and N + (CH 3 ) 3 , are over 90% dissociated at physiological pH (~7.4) for humans
Furthermore, an allergic reaction could lead to severe reactions such as swelling of the face, lips, tongue, and throat, trouble breathing and swallowing, severe rash, and rapid heartbeat
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