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Mainly, continue 1-2 injections weekly

The clinical management of RP also presents emerging challenges

The inclusion criteria for this cross over trial were: Male or female patients with confirmed HIV-1 infection (ELISA antibody testing), a stable antiretroviral combination that remained unchanged throughout the study, a clinical diagnosis of antiretroviral toxic neuropathy, and ALCAR therapy (1.5 g twice daily) for at least 3 months

[Google Scholar] 68.Takahashi T, Inaba Y, Somfai T, Kaneda M, Geshi M, Nagai T, Manabe N

Warnings Acetyl-L-carnitine was reported to increase chemotherapy-induced peripheral neuropathy in breast-cancer patients undergoing taxane-based chemotherapy, however the underlying mechanism was not clear (Hershman 2018)