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Regarding the former, the upper limit of normal (ULN) is generally established in individual laboratories by screening presumably healthy volunteers and defining a mean value 2 standard deviations

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An early trial in 160 men and women diagnosed with a recent MI showed that oral L-carnitine (4 g/day) in addition to standard pharmacological treatment for one year significantly reduced mortality and the occurrence of angina attacks compared to the control (47)

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Eating less often means consuming less protein, which can affect lean muscle maintenance