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Patients should be informed of the signs and symptoms associated with hyperammonemic encephalopathy and be told to inform the prescriber if any of these symptoms occur [see Warnings and Precautions (5.7, 5.8)]

L-carnitine stimulates pancreas secretion and it performs positive influence on the spermatogenesis and the sperm motility.

307,308,309 Endothelial dysfunction is well recognized in DPN

The mechanism is simple L-carnitine shuttles long-chain fatty acids into mitochondria, where they are oxidized for energy

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Notably, sulforaphane treatment was found to enhance STAT1 phosphorylation, suggesting its potential therapeutic mechanism [33]