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The reaction processes can be broadly categorized into the following two types: 41 Production Method: Epichlorohydrin reacts with Trimethylamine , followed by cyanation and hydrolysis with hydrochloric acid to produce DL-carnitine

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These results underscore the potential of L-carnitine to enhance reproductive interventions, offering hope for improved outcomes in IVF patients, particularly those with previous IVF failures

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