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Am J Clin Nutr 89:7176 Pignatelli P, Tellan G, Marandola M, Carnevale R, Loffredo L, Schillizzi M, Proietti M, Violi F, Chirletti P, Delogu G (2011) Effect of l-carnitine on oxidative stress and platelet activation after major surgery

This dual optimization ensures that the full 500mg dose reaches target tissues where it can support both fitness performance through improved fatty acid metabolism and cognitive function through enhanced mitochondrial activity in neural tissues

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Hence, clinicians should have a low threshold to refer for an ophthalmic assessment in any patient complaining of vision loss or with a red eye postoperatively