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Refrigeration slows chemical reactions and microbial growth, which can reduce the development of an L-carnitine smell

Study Associations of FGF23 With Change in Bone Mineral Density and Fracture Risk in Older Individuals J Bone Miner Res 31 4: 742-8

It found that L-carnitine supplementation produced a statistically significant but modest reduction in body weight roughly 1.2 kg on average along with small drops in BMI and fat mass, with the strongest effect in adults who were overweight or obese

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Thus, we can hypothesize that mildronates involvement in NO metabolism may mediate its effects on angiogenesis in the context of TBI, contributing to improvements in cerebral blood flow and supporting BBB functionality in the first days following the injury