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The most commonly reported side effects in clinical trials include injection site reactions (redness, swelling, itching), fluid retention, joint pain, and in some cases transient glucose elevation
10.1038/s41398-018-0183-x 103
[Clinical efficacy of combined L-carnitine and acetyl-L-carnitine on idiopathic asthenospermia]
10.1016/j.theriogenology.2020.08.034 44
It is expected that India research in animal models using both peptides would indicate greater benefits without significantly raising side effects
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