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Current treatment guidelines support the use of methylcobalamin (MC), a methylated derivative of vitamin B 12 which also demonstrates efficacy in improving nerve conduction and reducing neuropathic pain 9 , but thus far, the clinical value of MC has not been studied in comparison to ALC

Cao Y., Hao C., Wang C., et al., Urinary Excretion of LCarnitine, AcetylLCarnitine, PropionylLCarnitine and Their Antioxidant Activities After Single Dose Administration of LCarnitine in Healthy Subjects, Brazilian Journal of Pharmaceutical Sciences 49 (2013): 185191, 10.1590/S1984-82502013000100020

Goodwin S, McPherson JD, McCombie WR : Coming of age: ten years of next-generation sequencing technologies