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276 By contrast, Fagher et al 308 found no subjective improvement in fatigue in 14 patients treated with L-carnitine for 6 weeks

According to GEN (Genetic Engineering & Biotechnology News), here are the Top 10 CDMOs of 2025, ranked by 2024 revenues: 1 Lonza ~$8.1B 2 Thermo Fisher Scientific ~$7.0B 3 Catalent (part of Novo Holdings) ~$4.4B 4 Samsung Biologics ~$3.3B 5 WuXi Biologics ~$2.6B 6 Siegfried ~$1.6B 7 FUJIFILM Biotechnologies ~$1.5B 8 Boehringer Ingelheim (Bioxcellence R&D Institute) ~$1.4B 9 Recipharm ~$958M MilliporeSigma / Merck Group ~$836M Key takeaway: The rise of biologics is transforming pharma manufacturing