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Further, in the event that any severe adverse events were to have occurred, such as a life-threatening event, hospitalization, disability, or permanent damage, the investigators would have immediately informed the sponsor and stopped the study

Gnoni A, Longo S, Gnoni GV, Giudetti AM (2020) Carnitine in human muscle bioenergetics

In a follow-up study, the authors have identified a positive selection of TP53 pathway genes SP100 , DUOX2, and CLC, imparting physiological benefits like increased angiogenesis, skeletal muscle adaptations, and immune functions for Andean highlanders [45]

Its important to keep an eye on B12 levels and give the right amount to avoid problems