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d-Carnitine also increased the anaerobic production of lactic acid and d-citramalic acid from pyruvate, but was associated with reductions in the concentrations of five essential amino acids in tilapia (Leu, Val, Met, Trp and Phe) and higher concentrations of His and (+)-threo-2-amino-3,4-dihydroxybutanoic acid

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The most common side effect of PT-141 is nausea

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