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That is why, even though they are cheaper than other drugs, and efficient, they remain third-line therapy in narcolepsy

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By utilizing fats for energy production, this supplement helps conserve glycogen and delay the buildup of lactic acid, which in turn reduces muscle fatigue and extends the horse's ability to perform at peak levels

2010 Sep 1;247(2):116-28.

The honest answer is: it's more interesting than most peptides in this space, the mechanism is real, there's some legitimate clinical evidence and there are also significant gaps in the data that the internet tends to paper over

doi: 10.1016/j.archger.2007.01.029