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For now, branded pharmaceutical products and compounded formulations of existing medications represent the primary access pathways

doi:10.3389/fendo.2018.00672 Gabr RE, El-Sharkawy AMM, Schr M, et al

A Bayesian hierarchical model was fitted using the brms framework, specifying percent weight change as a Gaussian outcome with (i) drug-specific smooth dose effects (splines by drug), (ii) treatment duration included as a covariate to account for variability in follow-up time across trials, and (iii) a study-level random intercept to account for between-trial heterogeneity

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These levocarnitine doses are modest compared to what oral supplementation studies have tested