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Miyoshi et al 6 and Takeo et al 7 have reported several patients with Sjogrens syndrome who had Riehls melanosis-like eruption associated with anti-SSA (Ro) positive
This seems to suggest that it would be better to supplement with Acetyl L-Carnitine and R-Lipoic acid, rather than just L-Carnitine and Alpha Lipoic Acid
In obese and insulin-resistant ponies, 14 weeks of carnitine administration reduced blood lipid profile levels (Schmengler et al., 2013)
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