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It is a direct-acting, cell-remodeling and gene-modulating peptide

L-carnitine injections help to transport fat, particularly long-chain fatty acids, into the mitochondria of cells where they can be burned up and used as fuel

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Systematic review and meta-analysis of the evidence for oral nutritional intervention on nutritional and clinical outcomes during chemo(radio)therapy: current evidence and guidance for design of future trials

The argument is that these additions make the product a personalized formulation rather than a copy, which would allow continued compounding under traditional pharmacy practice laws