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Despite this promise, several critical limitations remain: No large-scale, randomized controlled human trials to confirm efficacy, safety, or long-term impact Toxicology and pharmacokinetic data are lacking, especially for chronic use or high-dose regimens Only one stereoisomer (all-L form) has been tested
10.1016/0014-2999(91)90514-Q
It would require highly specialized, expensive chromatographic laboratory testing that is usually reserved for targeted individual investigations, not routine battalion-wide screening
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