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"Acetyl-L-carnitine plus propionyl-L-carnitine improve efficacy of sildenafil in treatment of erectile dysfunction after bilateral nerve-sparing radical retropubic prostatectomy." Urology 66(5): 1080-1085

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In one study, serum C4 levels (a marker of bile acid synthesis) decreased from 23.4 21.1 ng/mL at baseline to 4.9 8.2,8.7 12.1,13.8 12.9 and 18.8 16.8 ng/mL at 1,3,6 and 12 months after SG, suggesting a reduction in bile acid synthesis post-SG [75]