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Then, the (R)-4-chloro-3-hydroxy butyric acid alkyl ester is reacted with trimethylamine, and the reaction product is treated with hydrochloric acid and passed through an anion-exchange resin column to thereby prepare L-carnitine
Follow-up visits should track weight loss progress, assess for adverse effects (including mood changes), evaluate adherence to lifestyle modifications, and adjust treatment as needed
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Ann New York Acad Sci
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