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Only one study examined the effectiveness and safety of acetyl-l-carnitine treatment in patients with multiple aetiologies including diabetic, alcoholic, traumatic, infective, and toxic origins [46]

The paper made its way through peer review and even attracted a positive Editorial comment, describing the findings as "striking" and recommending that practitioners should "not hesitate to prescribe the medications when an indication exists" This is the kind of work that can lead to unwarranted patient demand for medication

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