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Mechanistic studies reveal that acetyl-L-carnitine enhances cholinergic neurotransmission by increasing acetylcholine synthesis and release, upregulates nerve growth factor (NGF) expression, improves mitochondrial membrane potential and respiratory function in neurons, reduces oxidative damage to neural lipids and proteins, and modulates synaptic plasticity and neurotransmitter receptor function

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Though it may have the same androgen creation efficacy as L-carnitine L-tartrate, there are currently no studies to back this up

However, PRP has substantially more clinical evidence supporting its use and established safety profiles for numerous applications

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Nausea typically peaks during dose increases and subsides within 3-5 days