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2015 Oct;47(10):2177-84

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Conclusion: Is Acetyl L-Carnitine Right for You

The questionnaire included 10 items: irritability, tremors, anxiety, palpitations, mood lability, insomnia, impaired concentration, exertion dyspnea, excessive sweating, and heat intolerance

164 A trial that included 55 symptomatic postmenopausal women found a combination of dong quai plus chamomile ( Matricaria chamomilla ) for 12 weeks reduced the number and intensity of hot flashes, sleep disturbance, and fatigue more than placebo

Indeed, many original investigations, summarized in later review [4], indicated that LC supplementation lasting up to 4 weeks, neither increase fat oxidation nor improve performance during prolonged exercises