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Wall et al (31) concluded that the increased L-carnitine content allowed for better buffering of excess acetyl-CoA molecules contributing to lower lactate levels

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There is a decreased E1/E2 ratio with low protein diet (5% leucine) that promotes BCKDH complex sensitivity to phosphorylation-induced inhibition by BDK (Zhao et al., 1994)

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Physiol Rev

Meta-analysis of methylcobalamin alone and in combination with prostaglandin E1 in the treatment of diabetic peripheral neuropathy