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A clear scientific overview of the broader ghrelin/GHS system is available in this NIH/PMC review (Veldhuis & Roelfsema, 2010)

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However, despite no evidence to support its benefits but due to its excellent tolerance and low cost, we believe that L-carnitine administration should still be considered in the meantime on a case-by-case basis, without postponing or substituting supportive care

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