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The body eliminates these drugs as pivaloylcarnitine which can, over time, reduce systemic carnitine stores

Lednicky JA, Tagliamonte MS, White SK, Elbadry MA, Alam MM, Stephenson CJ, et al

Benton C, Konopleva M, Saliba R, Shpall E, Ciurea S, Kebriaei P, Alousi A, Popat U, Anderlini P, Nieto Y, Parmar S, Zeng Z, Chen J, Rondon G, McMullin B, R-Y W, Lu H, Schober W, Woodworth G, Gulbis A, Cool R, Qiao W, Thall P, Andreeff M , Champlin R