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J for Res 21:323330 Li C, Wang P, Wei Z, Liang D, Liu C, Yin L, Jia D, Fu M, Ma F (2012) The mitigation effects of exogenous melatonin on salinity-induced stress in Malus hupehensis

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Interestingly, the patients who received the combined treatment experienced less overall improvement than those taking either form individually, suggesting that massive doses of competing carnitine forms might overwhelm cellular transport mechanisms