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They are water-soluble which just means that if theres anything in excess, it will be just excreted through urine or bile
10.1016/j.neuint.2015.07.017 Neurochem
However, these issues deserve further investigation in controlled, randomized and probably multicentre trials to evaluate the clinical value and the appropriate dosage of L-carnitine in each of these conditions
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Y.et al (2013)
However, only one pharmacy was disclosed to our reviewer, and no prescriber information was shared on request
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