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This seems to suggest that it would be better to supplement with Acetyl L-Carnitine and R-Lipoic acid, rather than just L-Carnitine and Alpha Lipoic Acid

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Quick tips Here are some simple steps to help you get the most from each dose: Refrigerate your vials upon arrival Take your medication on the same day each week Can be taken with or without food Rotate injection sites every week Be sure to properly discard your vials & syringes Follow these tips to ensure that the medication is properly administered, so you can experience the best possible benefits while minimizing side effects