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Overall, there seems to be a benefit of decreased abdominal pain and regulated transit time

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Effect of L-carnitine on cultured murine melanoma cells exposed to azelaic acid [PMID: 3745962] Laboratory literature summary: Effect of L-carnitine on cultured murine melanoma cells exposed to azelaic acid

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More research is needed, but short-term use under supervision has been considered safe in functional medicine settings