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One could suggest that the addition of L-leucine and creatine may have synergistic actions when incorporated with L-Carnitine
In the United States, it is not approved by the FDA for human or medical use, and regulations limit its sale to research purposes only
Feb 2023;53:224-237

Muscle-Building Effectiveness Research shows that supplements containing the full spectrum of EAAs can stimulate muscle protein synthesis up to twice as effectively as those with only BCAAs

[PUBMED Abstract] Goldstein AM, Xiao Y, Sampson J, et al.: Rare germline variants in known melanoma susceptibility genes in familial melanoma
