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The primary treatment consists in regular injections of growth hormone, but because of needle pain and the considerable expense, researchers began to look for other ways to boost the levels of growth hormone in these children

Where a literature is concentrated in a single research group, this is stated

Kothari SS et al

Reid MA, Wang W-I, Rosales KR, Welliver MX, Pan M, Kong M

The reasons for this are: Enhanced Fat Oxidation L-Carnitine helps in the transport of long-chain fat acids into mitochondria where they are oxidized and used as energy during the activity

Strong response suggests maintaining current dosing