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The angiogenic effect is not direct on isolated cells in culture but appears in vivo when blood vessels and surrounding tissue are present (Brcic et al., 2009)

The biggest safety risk comes from using unregulated "research chemical" products rather than pharmaceutical-grade compounds from licensed pharmacies

A retrospective study analysed data on the use of acetyl-l-carnitine as an add-on treatment in 137 adult patients with fibromyalgia with pain lasting for over 3 months

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