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Degradation can absolutely skew your results

Carnitine and acylcarnitines: Pharmacokinetic, Pharmacological and clinical aspects

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Dec 2009(114):S12-19

As the first treatment strategy, conventional synthetic (cs) DMARDs like methotrexate, hydroxychloroquine, sulfasalazine, leflunomide, chloroquine, and gold salts should be used as soon as RA is diagnosed

Always inspect the vial before use and do not use it if the solution appears cloudy, discoloured, damaged, or otherwise compromised