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However, it is important to emphasize that these results cannot be attributed to L-carnitine alone: the observed efficacy relies on a cream combining multiple actives (L-carnitine, licochalcone A, and decanediol) and on its use in conjunction with photodynamic therapy

La mezcla de aminocidos no solo condujo a un aumento en la masa muscular, sino que los pacientes tambin se sintieron significativamente ms eficientes

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10.1007/s13679-025-00630-2 191

While the pathophysiology is not completely understood, it is hypothesized that the inciting event is a subclinical traumatic tear to the tunica albuginea