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The FITTER recommendations (Frid et al., Mayo Clinic Proceedings, 2016), written for insulin, conclude that the shortest needles (4 mm pen needles and 6 mm syringe needles) are safe and effective for all adult body types, that intramuscular injection should be avoided, and that lipohypertrophy is frequent and prevented by systematic site rotation

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It is unlikely that maternal levocarnitine supplements during nursing would be harmful to the infant, but it is probably best to avoid over-the-counter supplementation until more data is available

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