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The third one is that the follow-up duration for these studies ranged from seven days to three years, which may result in potential publication bias and reduce the reliability of these trials

Propionyl-L-carnitine: This form helps increase levels of nitric oxide in the body, which dilates the blood vessels to promote better blood flow

It also increases the clearance of lactic acid from the muscles, which helps to delay the onset of muscle fatigue and improve exercise performance

Lang F, Busch GL, Ritter M, Volkl H, Waldegger S, Gulbins E, Haussinger D: Functional significance of cell volume regulatory mechanisms

1990;74:C879
