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Urinary excretion is the main route of elimination of acetyl-l-carnitine

Hernndez-Saavedra D, Hinkley JM, Baer LA, Pinckard KM, Vidal P, Nirengi S, et al

doi: 10.1113/jfisiol.2010.201343

Only two studies were found evaluating the effect of combining a PDE-5 inhibitor with L-arginine for erectile dysfunction and comparing with PDE-5 inhibitor alone: one for sildenafil15 and one for vardenafil
