Pushpakumar et al., 2017)
In a randomized, placebo-controlled study of 495 patients with intermittent claudication, 2 g/day of propionyl-L-carnitine for 12 months significantly increased maximal walking distance and the distance walked prior to the onset of claudication in patients whose initial maximal walking distance was less than 250 meters (m), but no effect was seen in patients who had an initial maximal walking distance greater than 250 m (65)

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The participants, who were stable at the start of the study, continued to be stable as the study went on, meaning being in ketosis didnt tip them toward depression or mania
What should I do if its high or low
Most reconstituted peptides should be treated as short-term refrigerated solutions