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The authors point out that other classes of drugs, including those treating erectile dysfunction and an anti-arrythmic drug, have previously been found to cause NAION in some patients

However, this process revealed additional binding partners including proteins that regulate oxidative phosphorylation, mitochondrial membrane transport, the citric acid cycle, and glycolysis (Supplemental Table 1)

Aerobic Capacity Research published in Medicine & Science in Sports & Exercise found no significant improvement in VO2 max or exercise performance with L-carnitine supplementation in trained athletes, raising questions about its efficacy for endurance

or Canada, so its sold through a gray market labeling loophole