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L-Carnitine treatment reduces severity of physical and mental fatigue and increases cognitive functions in centenarians: a randomized and controlled clinical trial. The American journal of clinical nutrition 86.6 (2007): 1738-1744

& Enriquez, J

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While compounded medications are produced in licensed facilities and regulated by state Boards of Pharmacy, they have not been evaluated by the FDA for safety, quality, or efficacy

Instead, approved interventions are stratified according to a patient's body mass index (BMI), the presence of weight-related health conditions, and their individual clinical circumstances