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Higher production costs: Another major limiting factor in the market is the higher costs associated with the production procedure of acetyl-l-carnitine, which can overburden the consumers with higher prices of the final product

The patient had intractable nausea, vomiting, and abdominal discomfort that was unresponsive to standard antiemetics

26 FutagiY.NarumiK.FurugenA.KobayashiM.IsekiK

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Introduction Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a drug-induced hypersensitivity reaction which may range from mild illness to potentially fatal cases, and includes skin abnormalities, hematological abnormalities (eosinophilia, atypical lymphocytosis), lymphadenopathy and internal organ (such as kidney, liver and lung) involvement 1