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now acetyl l carnitine Acetyl-L-Carnitine 500 mg Veg Capsules NOW Foods Phase 2®, Starch
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6 GuerraC.JohalK.MorrisD.MorenoS.AlvaradoO.GrayD.et al (2012)
No clinical evidence supports this concern

A reduction in CoQ 10 production and subsequent mitochondrial dysfunction from the use of statins may result in statin-associated muscle symptoms (SAMS), and CoQ 10 supplementation has been found to decrease SAMS in clinical trials [21]
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The absence of a specific trial doesn't negate the overwhelming body of indirect and mechanistic evidence

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