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doi:10.1177/03000605231164548 Lovren F, Teoh H, Verma S

Clinical analysis of therapeutic effect of levocarnitine on dialysis patients

"PT-141: a melanocortin agonist for the treatment of sexual dysfunction." Annals of the New York Academy of Sciences 2003;994:96-102

When supplemented, GBB dramatically increases both plasma and urinary carnitine levels -- research shows it can boost carnitine excretion up to 40-fold compared to baseline