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Other serious hypersensitivity reactions, including anaphylaxis, laryngeal edema, and bronchospasm have been reported following intravenous levocarnitine administration, mostly in patients with end stage renal disease undergoing dialysis

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Injection introduces sterility and endotoxin risks absent from oral use

Dead volume compensation Every syringe has dead volume, the small amount of liquid that remains in the needle hub and syringe tip after you push the plunger fully