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These synthetic forms are not biologically active in the same way as the natural L-isomer and can actually competitively inhibit the absorption and utilization of naturally occurring L-carnitine, potentially inducing a state of carnitine deficiency and worsening fatigue symptoms

It modulates neurotransmitter systems including dopamine and serotonin

Hair transplantation involves removal of hair from the occipital scalp and re-implantation into the bald vertex and frontal scalp

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Reversal by cholic acid feeding