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When prescribing is supervised and thoughtful, these medicines are effective and safe. Louwagie agrees that the case report highlights the need for individualized care

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It is important platforms are penalised for failing to block these fake ads, as they continue to benefit from the harms these ads cause for consumers, he said

While the overall evidence is promising, to move from promise to practice, future multicenter, long-term RCTs, standardizing the dosage and formulation of L-carnitine should be a top priority for future large-scale trials

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