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These include some heartburn medicines, including esomeprazole (Nexium), famotidine (Pepcid AC), lansoprazole (Prevacid), omeprazole (Prilosec OTC), pantoprazole (Protonix), rabeprazole (Aciphex), as well as some diabetes, gout, and chemotherapy drugs

Karim RZ, Li W, Sanki A, Colman MH, Yang YH, Thompson JF et al

L-carnitine is a compound derived from amino acids produced by the body

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These ice crystals have sharp edges that can literally shear and denature the protein