does l carnitine interact with any medications L-Carnitine and acetyl-L-carnitine roles and neuroprotection in developing brain L-Carnitine Injections: A Clinical Guide
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doi: 10.1016/j.micinf.2007.05.007 39 SunJ.HangY.HanY.ZhangX.GanL.CaiC.et al

Knockout of NFE2L2/NRF2 can reduce the expression of HERC2 and VAMP8, which respectively lead to the simultaneous increase of ferritin and NCOA4, recruit divalent iron to the autophagosome, and hinder ferritin autophagy, ultimately resulting in the accumulation of divalent iron in the autophagosome, elevated intracellular labile iron levels, and enhanced sensitivity to ferroptosis [131]

When in doubt, discard

One more LCD note: corticosteroids arent FDA-approved for epidural injection, per the FDAs 2014 epidural corticosteroid safety communication
