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Documented medical need (BMI 30+ or BMI 27+ with comorbidity) supports prescription

See item #5 (below) for a few problems that are coming up, though

Acetyl L-Carnitine to Improve Exercise Performance ALCAR can act as a crucial acetyl buffer for active muscles, enhancing exercise tolerance, and offering insights into potential therapeutic approaches to address exercise intolerance

Its also safe and can be administered in many ways, including can be taken orally via ozonated water or capsules, applied topically, intravenously, or administered internally through insufflation

bmj355(2016)

Despite the lack of toxicity, ML162 was discarded due to poor drug absorption in vivo (Figure S3D)