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The idea is that stacking two different satiety pathways gives better results than either alone

It is published, peer-reviewed, and growing

4 Discussion The serum serotonin levels were low before L-carnitine, L-carnitine supplementation was associated with a robust increase in peripheral serotonin and reduction of fatigue, and there was a statistically significant correlation between serum serotonin and fatigue levels in both patient groups

Beyond its approved indication, PT-141 has been investigated and used off-label for male erectile dysfunction, particularly in men who don't respond to PDE5 inhibitors or have contraindications to their use

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