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Life Sci 88:11361141

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d-Carnitine also increased the anaerobic production of lactic acid and d-citramalic acid from pyruvate, but was associated with reductions in the concentrations of five essential amino acids in tilapia (Leu, Val, Met, Trp and Phe) and higher concentrations of His and (+)-threo-2-amino-3,4-dihydroxybutanoic acid

10.1155/2016/7296092 192 XuS.JiaP.FangY.JinJ.SunZ.ZhouW.et al (2022)

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Choose acetaminophen-free options like guaifenesin (Mucinex) for congestion or phenylephrine-only decongestants, but always read labels carefully to verify ingredients