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It appears that the only hope for prices going down is 1) Medicare negotiating a lower price directly with manufacturers in 2027 or 2) a successful patent challenge that results in generic manufacturing
Serious adverse events were rare, and when occurred, they were not attributed to ALC
L-carnitine reduces cochlear damage induced by gamma irradiation in Guinea pigs [PMID: 16951273] Laboratory literature summary: L-carnitine reduces cochlear damage induced by gamma irradiation in Guinea pigs
Decreased appetite While technically the desired therapeutic effect, some individuals find the appetite suppression more pronounced than comfortable during initial weeks
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