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J Mol Struct 15:6677 Hagen TM, Liu J, Lykkesfeldt J, Wehr CM, Ingersoll RT, Vinarsky V, Bartholomew JC, Ames BN (2002) Feeding acetyl-L-carnitine and lipoic acid to old rats significantly improves metabolic function while decreasing oxidative stress

Serum vitamin D status correlates negatively with the BMI of children, adolescents and adults (Reference Tang, Zhan and Wei15,Reference McKay, Ho and Jane17)

Other treatments range from temporary such as the use of cosmetic creams and make-up, to permanent methods like depigmentation, which essentially reduces the color of unaltered parts of the skin to match the affected area

The absence of long-term follow-up after the completion of the 90-day therapy limits the understanding of long-term outcomes and effects of L-carnitine