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The ergogenic effect was explained by the dual role of carnitine glycogen sparing at low intensities and reduced muscle lactate accumulation at high intensities

Transport and temporary storage Travel and shipping situations require temporary deviation from refrigerated storage

If the temperature exceeded 30C or the vial has been punctured more than 5 times, discard it

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2,6 Nondelivery obstetric procedures during pregnancy or early postpartum period (cerclage, external cephalic version, postpartum tubal ligation): H2RA (IV famotidine 20mg 60 90 minutes before induction, or 20mg PO night prior to surgery and morning of surgery) should be given in patients with GERD or beyond 18 weeks of pregnancy, along with prokinetic agent (metoclopramide) and nonparticulate antacid (to increase pH of gastric contents, decreasing pulmonary damage if aspiration does occur)