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L-carnitine is a biologically active quaternary amine involved in fatty acid transport , studied in controlled laboratory settings for its relationship to mitochondrial energy metabolism, -oxidation, exercise recovery, metabolic efficiency, and performance-oriented cellular pathways

Furthermore, it decreases mast cell activation and histamine release [57,353]

However, limited cell proliferation and retinal neuronal differentiation of stem cells pose a major challenge in clinical practice

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2 Less than 1% of patients in an efficacy and safety trial reported a skin adverse event