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This isn't a restrictive protocol

Patients adhered to a standardized wound care protocol, including sharp debridement, daily drug application, pressure-relieving footwear, and diabetes management education

Most cognitive supplements or medications work at the level of neurotransmitter modulation they increase dopamine, acetylcholine, or serotonin availability

The Vermeulen study found a clear divergence in therapeutic effects: Acetyl-L-Carnitine (ALCAR) had a statistically significant, targeted positive effect on mental fatigue and cognitive concentration , whereas Propionyl-L-Carnitine was more effective for general, physical fatigue