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In direct comparisons of ALC with active drugs, ALC had fewer reported AEs, mostly CNS or GI, while comparator events reflected drug-specific profiles (eg., endocrine events with amisulpride)

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Of the metabolites that were significantly different between the groups, steroid hormone biosynthesis metabolites were most significantly correlated with fatigue severity

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Thats easy to answer once you know the benefits of L-carnitine, especially for active individuals and athletes