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Indeed, this is not a case where a patient cannot swallow a pill and therefore the medication must be changed to a liquid form, the Iowa board said

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High doses of L-carnitine in acute myocardial infarction: metabolic and antiarrhythmic [PMID: 2668006] Laboratory literature summary: High doses of L-carnitine in acute myocardial infarction: metabolic and antiarrhythmic effects

16 6 Diagnosis of Gout Gout usually presents with characteristic inflamed, painful joints in the extremities, but these symptoms are also common to other conditions, particularly pseudogout (a related condition caused by the accumulation of calcium pyrophosphate crystals in the joint) or septic arthritis (caused by joint infection)