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PubMed Chang CH, Tsai WC, Lin MS, Hsu YH, Pang JH (2011)

That evidence gap makes the delivery method choice more consequential than for most peptides

Neurochem Res 35:743748 Reuter SE, Evans AM (2012) Carnitine and acylcarnitines: pharmacokinetic, pharmacological and clinical aspects

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For spinal structures with naturally limited blood supply (particularly the intervertebral discs, which are largely avascular), this enhanced circulation to surrounding tissues can make a meaningful difference in healing capacity