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[Link] Administration of levocarnitine to healthy elderly subjects resulted in a reduction of total fat mass, an increase of total muscle mass, and appeared to exert a favourable effect on fatigue and serum lipids Virmani, A, and Binienda, Z, Role of carnitine esters in brain neuropathology. in Molecular Aspects of Medicine , Volume 25, Issue 5 and 6, October to December 2004, pp 533 - 549

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Azelaic acid may also possess a direct antiinflammatory effect by scavenging oxygen radicals