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Carnitine penetrates muscle cells through specialized transport mechanisms, with peak metabolic effects occurring 1-3 hours after supplementation
When oral NAC was the sole option, there were no reported cases of liver failure or death when clinicians treated patients within 8 hours
JAMA Surg 149:275287 (1992) Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Development Conference Statement March 2527 1991
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