l carnitine for fertility female L-Carnitine in Fertifre-L Plus Female Fertility Supplement,
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doi: 10.1016/j.molmet.2016.04.007 32 OrgaardAHolstJJ

1067 This acidification of the TME disrupts NAD + regeneration, inhibiting cancer cell proliferation

However, sensitivity analyses excluding this higher-risk study yielded comparable pooled estimates, and leave-one-out analyses showed consistent direction of effect across all exclusions
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