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Although significant improvement can be seen with Xiaflex, side effects do occur, including temporary pain, bruising, and swelling

GCDH can be controlled nutritionally and supplementation includes L-carnitine to avoid secondary carnitine depletion [84-87]

The yield values of sample K (control: walnut milk powder + lupin flour + vitamin B12), sample A (walnut milk powder + lupin flour + vitamin B12 + L-carnitine at 10%), sample B (walnut milk powder + lupin flour + vitamin B12 + L-carnitine at 15%), and sample C (walnut milk powder + lupin flour + vitamin B12 + L-carnitine at 20%) were closely aligned, reflecting well-balanced acidbase profiles, with values of 90.68%, 92.46%, 92.82%, and 91.97%, respectively (Table 3)

Significance levels were denoted as follows: p 0.05 (*), p 0.01 (**), p 0.001 (***), ns: not significant