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An August 2025 inspection report noted similar issues, which seemed to be resolved as noted in a March 2026 follow-up

The combination of L-carnitine and the conventional agent significantly improved both the ovulation rates (64.4% with L-carnitine vs 17.4% with placebo) and the cumulative pregnancy rates (51.5% vs 5.8%).* In addition, there was a significantly higher level of serum progesterone in the luteal phase among the L-carnitine and conventional agent group (Group A) compared with the control group (Group B).* There were also additional metabolic benefits in the women in Group A after 12 weeks.* Pregnancy rates are the name of the game in women taking the common conventional agent used in this study and the results in this study were compelling in this regard

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For this reason, any vial that has frozen should be discarded immediately