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Foaming comes from shaking or agitation, which whips air into the solution and can damage the peptide
Blood chemistry panels showed no hepatotoxicity (ALT, AST, bilirubin all within normal limits), no nephrotoxicity (creatinine, BUN unchanged), and no hematologic changes
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It is contraindicated in patients with certain mitochondrial disorders, porphyria, or fatty acid oxidation deficits
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