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The results of another study using a lamb model with increased pulmonary blood flow showed that chronic l-carnitine treatment alleviates changes in lung carnitine homeostasis, reduces associated oxidative stress, and improves pulmonary mitochondrial function, NO signaling and eventually endothelial function [23]

Critically, removal from Category 2 did not place these substances on the 503A bulks list, nor did it move them into Category 1, the category for which the FDA exercises enforcement discretion

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