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doi: 10.1016/j.idc.2021.03.001 364 SeleemD.BensoB.NogutiJ.PardiV.MurataR

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To date, long-term studies show sustained benefits and no significant safety concerns, although researchers continue to monitor effects on muscle mass, bone health, and mental well-being as more people use them for longer periods

Exogenous peptides, on the other hand, are peptides that come from outside sources, including food, supplements, and medication

"Meta-analysis of double blind randomized controlled clinical trials of acetyl-L-carnitine versus placebo in the treatment of mild cognitive impairment and mild Alzheimer's disease." International Clinical Psychopharmacology