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Different peptides have completely different mechanisms of action and timelines
National Comprehensive Cancer Network website
Aug 2019;37(3):615-629
Adult patients with primary carnitine deficiency, even if asymptomatic, are at risk of sudden death from cardiac arrhythmia as demonstrated by the decreased prevalence of primary carnitine deficiency with age in the Faroe Islands, from 45 cases/1,000 to 0.20.4 cases/1,000 (Ulrike Steuerwald, personal communication)
