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doi: 10.1016/s0022-5347(17)37988-0
doi: 10.1016/j.freeradbiomed.2009.11.018
That research is on a specific prescription formulation rather than Aqualyx itself, so it is fair to say the class is well studied even though Aqualyx is mostly backed by real-world clinical use

L-Carnitin verhindert die Schmierung
It is occasionally used as a prescription to treat primary and secondary carnitine deficiencies, which can affect energy metabolism and cause symptoms such as muscle weakness