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He says it's down to funding - to get a product from animal studies to human trials and to a fully licensed medicine takes years and billions of dollars

Role of L-carnitine in the modulation of immune response in aged rats

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Do not administer a dose less than two hours before bedtime due to a risk of suppressing natural growth hormone synthesis

10.1021/jz402762h [4] Wang D, Sun Q, Hokkanen MJ, Zhang C, Lin F-Y, Liu Q, Zhu S-P, Zhou T, Chang Q, He B, Zhou Q, Chen L, Wang Z, Ras RHA and Deng X