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L-Carnitine and Acetyl-L-Carnitine: Potential Novel Biomarkers for Major Depressive Disorder Frontiers in Psychiatry (2021), DOI: 10.3389/fpsyt.2021.671151 11

The difference is a modification to the molecule that extends how long it stays active in the body, giving a longer and more sustained growth-hormone pulse per injection

In a retrospective, observational, database-based study, acetyl-l-carnitine acted synergistically with pregabalin in patients with nerve compression neuropathies [49]

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Rehabilitative treatment in peripheral artery disease: protocol application and follow-up