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Long-term randomized trials are scarce, and dose-response across diverse populations needs refinement

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Although it has been argued that ALC is better than l-carnitine in absorption and activity These data suggest that ALC may be a better dietary supplement than L-carnitine. Malaguarnera, M, et al, Acetyl L-carnitine (ALC) treatment in elderly patients with fatigue. in Archives of Qerontology and Geriatrics , Volume 46, Issue 2, March-April 2008, pp 181 - 190

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