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While stimulants like caffeine or amphetamines do enhance alertness and attention, they are not typically considered true nootropics due to their side effects and abuse potential

Effects of L-carnitine L-tartrate Supplementation on Muscle Oxygenation Responses to Resistance Exercise. Journal of Strength and Conditioning Research

Clinical trials offer increased access to newer medicines Referring PWH to clinical trials may not only help scientists better understand hypersomnias and their treatment, but it may allow PWH to try medicines that arent yet available in their home country nor approved for their diagnosis

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suggested that increased fatty acid oxidation inhibits glucose utilization in muscle