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L-carnitine can be produced through chemical synthesis on an industrial scale, so it is steadily gaining popularity

+ We do not treat patients who are pregnant or breastfeeding, who have a known allergy to any component of the formulation including pineapple-derived bromelain, who have an active skin infection in the treatment area, who have a bleeding disorder or are on certain blood-thinning medications, who have significant liver, kidney or heart disease, or who have a history of keloid scarring

Korean Circulation Journal, 48(12),1097-1119

For patients managing side effects, dosage questions, or medication concerns, response time and a named point of contact matter significantly