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Pediatr Crit Care Med 5(3):269274 Rodrigo R, Cauli O, Boix J, ElMlili N, Agusti A, Felipo V (2009) Role of NMDA receptors in acute liver failure and ammonia toxicity: therapeutical implications

Until those results are published, the human evidence base consists of three small pilot studies (IV safety pilot, n=2, Lee & Burgess 2025

References Henning, R

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Some research suggests combining creatine and carnitine may boost muscle protein synthesis beyond either supplement alone for improved exercise performance 9

In simple terms, this means that changes in how cells use energy may reduce the brain's ability to recover under certain conditions