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Acetyl-L-carnitine in diabetic neuropathy Three Class II RCTs compared ALC versus placebo in a total of 1590 patients with diabetic peripheral neuropathy

When present, side effects are typically mild and transient, potentially including slight drowsiness if administered too early (easily resolved by timing adjustment), mild headaches during initial adaptation in some individuals (usually resolving within days), temporary vivid dreams as sleep architecture normalizes, or rare reports of mild dizziness upon waking in sensitive individuals

So they should be loose down there

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