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Effect on oxidative stress In an animal study conducted by Wang et al., L-carnitine administration led to a significant elevation in Superoxide Dismutase (SOD) and Glutathione Peroxidase (GSH-Px) levels in both serum and cardiac tissue, accompanied by a marked reduction in malondialdehyde (MDA) levels

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So I think it's a neuronal energy problem more...and I think all of the other things we see are results of that

In some high-profile cases, individuals have experienced cardiac arrest (which is different from a heart attack) following unregulated, high-dose injections