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These findings could be valuable in guiding supplementation and optimizing performance strategies for middle-aged triathletes and potentially other athletes with similar exercise demands and physiological profiles, the researchers wrote in the study findings

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The exact concentration is not publicly specified in the same way compounded vials are labeled because the pen handles all measurement internally

It is possible that the decreased dietary intake may activate regulatory mechanisms that increase synthesis and/or absorption and decrease excretion of L-carnitine [65,70,71]

These skin changes may be indicators that there is a risk for ulceration and the patient would benefit from evaluation