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A quick look at other reviews shows that Im not the only one with the issue of breakage

"L-carnitine for insulin resistance: meta-analysis." Adv Clin Exp Med 2017;26:333-8

CrossRef Evaluation of MicroRNA-122 as a Biomarker for Chronic Hepatitis C Infection and as a Predictor for Treatment Response to Direct-Acting Antivirals Naglaa S Elabd, Safaa I Tayel, Moamena S Elhamouly, Shaimaa A Hassanein, Samar M Kamaleldeen, Fatma E Ahmed, Mahmoud Rizk, Abdelnaser A Gadallah, Soma E Ajlan, Ahmed S Sief Hepatic Medicine: Evidence and Research .2021

Drug Saf (2017) 40:66377
