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In a nutritional setting it is mainly used as a complementary source of L-carnitine, to fit into a structured daily routine alongside an active lifestyle
146,147 Another critical limitation is the delay in predictive utility: the optimal scoring time point often occurs more than 48 h after symptom onset, at which time clinical signs of SAP are typically evident, potentially missing the window for effective early intervention
Zinc, copper, and manganese serve as cofactors in collagen production enzymes
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