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GENVOYA is not recommended in patients with severe renal impairment (estimated creatinine clearance of 15 to below 30 mL per minute), or in patients with ESRD who are not receiving chronic hemodialysis, as the safety of GENVOYA has not been established in these populations [see Dosage and Administration (2.3), Warnings and Precautions (5.4) and Clinical Pharmacology (12.3)]

Beadle et al., 2002

Ann N Y Acad Sci 2004;1033:158-67

A different version of the same amino acid as L-carnitine, ALCAR has an added acetyl group

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