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Thus, additional work is required to evaluate the superiority, efficacy, and safety of intravenous levocarnitine administration compared with oral administration because there is no evidence of associations between the increased levels of TMAO and atherosclerosis progression in dialysis patients

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and M.L., with conflicts over study inclusion resolved by consensus

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Because these are intramuscular injections, some patients may experience mild and temporary side effects at the injection site, including: Soreness or tenderness Mild redness or swelling Minor bruising These symptoms are typically minimal and resolve quickly