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These observations indicate that d 9 -l-carnitine production from oral d 9 -BB occurs via a mechanism that is not suppressed by antibiotics, and are consistent with expected results from the endogenous l-carnitine biosynthetic pathway (i.e., host conversion of BB to l-carnitine during carnitine biosynthesis) (3234)

Once reconstituted with bacteriostatic water, they must be kept strictly refrigerated and handled gently to prevent the amino acid chains from degrading

3- Contrast Stewardship: If a CT with contrast is ordered, discuss with the team if a non-contrast study or ultrasound could suffice

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