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That depends which type of pen youre using

This is the single highest-leverage move

They also create a different tolerability profile to watch

Renal disease / dialysis: Individuals on dialysis should not take carnitine without physician supervision [7]

Continuously injecting into the same spot can lead to lipohypertrophy, a buildup of fatty tissue that can hinder absorption, or lipoatrophy, a loss of fat that can cause dents in the skin