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Malaguarnera M, Vacante M, Giordano M, et al., "Oral acetyl-L-carnitine therapy reduces fatigue in overt hepatic encephalopathy: a randomized, double-blind, placebo-controlled study", Am J Clin Nutr, 2011, PMID: 21310833

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Rather than stimulating growth hormone release, this peptide is actually a modified fragment of the growth hormone molecule itself, specifically amino acids 177 through 191 of the human GH sequence