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Products such as Top Form from Cest Pharma, which contains 100 mg of L-carnitine, have become an important part of many successful racing programs

New compounds for the treatment of painful DSPN are being developed and the concept of stratifying patients according to various pain characteristics to improve analgesic response is being explored

Patients should approach claims about these products with healthy skepticism until more robust clinical research is available. Read the original article on Health

For patients refractory to the above measures, second- and third-line strategies such as TIPS, indwelling pleural catheter placement, and pleurodesis have been described, although liver transplantation should be pursued in these patients for definitive management

The 60 mg version (Alli) is available over the counter

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