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For patients with DIE, characterized by fibrotic, deeply invasive lesions often involving bowel, bladder, or uterosacral ligaments, fertility impairment results from both mechanical distortion and an inflammatory microenvironment

The authors of a systematic review and meta-analysis, which examined this and 12 other randomized clinical studies, concluded that propionyl-L-carnitine significantly increased the maximum distance covered in patients with claudication

That difference fundamentally impacts how well the medication suppresses appetite and controls blood sugar

V., Kondratova, A

19,20,22 A third subgroup consisted of head-to-head studies that compared ALC with another active pharmacological agent (n=2)