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In simple terms, one is a defensive reaction to external damage, while the other is a direct biochemical stimulation of pigment cells

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Another placebo-controlled, double-blind, randomized study in 44 men with idiopathic asthenozoospermia found an increase in sperm motility in those given ALCAR alone (3 g/day) or ALCAR (1 g/day) plus L-carnitine (2 g/day) compared to those given L-carnitine alone (2 g/day) or a placebo (113)

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Follow proper refrigeration guidelines and check that your medication has not been exposed to extreme temperatures