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191 Although evidence is mixed, botulinum toxin use in trigger point injections may be helpful for reducing symptoms in people with myofascial pain syndrome, a condition characterized by localized muscle and connective tissue pain

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These are uncommon and typically transient

Carnitine has a trophic genomic effect, inducing the protein activity and mRNA expression of a variety of nuclear receptors, directly regulating nuclear receptor signaling to affect downstream targets of cell metabolism [32]