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Butz F, Ogawa T, Nishimura I

Conclusions In conclusion, L-Carnitine in combination with L-leucine and creatine, significantly enhanced lean muscle mass and functional strength particularly in the lower legs, likely due to an improved protein anabolism through the mTOR pathway

Just because its not FDA approved doesnt mean that they cant prescribe it and we are well aware that more and more functional medicine physicians and orthopedic surgeons have been experimenting with the various peptides with their patients

Chemically speaking, it comes from the attachment of sorbitan (a dehydrated sorbitol (sugar) molecule) with the unsaturated fatty acid Oleic Acid, that creates a partly water (the sorbitan part) and partly oil soluble (oleic part) molecule