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Some patients find their side effect profile worsens at this level and choose to step back to 10mg for maintenance
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This is primarily due to L-carnitines ability to preserve muscle glycogen and use fatty acids as energy during exercise, sparing the use of amino acids, making them available for new protein synthesis to rebuild and grow muscle, per 2020 research in Molecules
doi: 10.1210/jcem-37-5-826 57 BrownJCPedersonRAJorpesEMuttV
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