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The case was brought by the Outsourcing Facilities Association (OFA), a trade group that represents FDA-sanctioned compounding pharmacies, which said that ending the shortage was a reckless and arbitrary decision. The plaintiff also alleged that the FDA made its move to benefit special interests, raise drug prices, and deprive much of the public access to a needed medicine. Pittman did not buy these arguments, but with his ruling filed under seal, his exact reasoning for denying the injunction is unknown

A joint position statement from the American Dietetic Association and the Dietitians of Canada concluded that carnitine does not improve athletic performance and might also promote heart disease symptoms