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Name: can l-carnitine cause muscle pain Supplementation for the Management of Fatigue in Patients With Cancer: An Eastern Cooperative Oncology Group Phase III, Randomized, Double-Blind, Placebo-Controlled Trial What Is L-Carnitine: Benefits, Side
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C.GiroudM.et al

The study aims to determine the effects of this drug together with AR-inhibitor enzalutamide in mCRPC

That last clause is the one that distinguishes a prescription peptide from a supplement

Fontella FU, Pulrolnik V, Gassen E, Wannmacher CM, Klein AB, Wajner M, Dutra-Filho CS (2000) Propionic and L-methylmalonic acids induce oxidative stress in brain of young rats