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Fifth, due to lack of reported data, we could not analyze the dietary patterns, medication usage, gut microbiome profiles, L-carnitine bioavailability, or skeletal muscle carnitine content of the patients included in this meta-analysis, which may have had differential effects on the metabolism of L-carnitine

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We do not have reliable published data on how BPC-157 is absorbed, distributed, metabolized, or cleared in humans, nor on what dose produces a measurable effect or where toxicity might begin