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The D-Phe stereochemistry and Nle substitution were specifically selected to resist enzymatic proteolysis, as established in the precursor work (Sawyer 1980, PMID 6777774)

It also contains caffeine and an amino acid called L-theanine, which work together to improve mental alertness and concentration

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[18] Follow any disposal instructions on the label or given by the pharmacy, or return the unused medication to a take-back program if available

Maintenance drops to 2 mg once weekly to sustain therapeutic tissue levels at lower cost

This supplement provides a convenient way to administer high doses of L-carnitine in free form