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2023 Jul;14(4):774-795

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[cite_start]Intranasal administration specifically bypasses first-pass hepatic metabolism and the blood-brain barrier (BBB) via olfactory and trigeminal nerve pathways[cite: 396]

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If symptoms occur, they usually relate to the underlying cause of the elevated level

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Thats why we dont just hand you a vial

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J Clin Invest 108(1):1523 Traina G (2016) The neurobiology of acetyl-L-carnitine

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