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10.1056/NEJM199704103361518 155 SahebnasaghA.AvanR.MonajatiM.HashemiJ.HabtemariamS.NegintajiS.et al (2022)

Heres a simple breakdown: Phase 1: During phase 1, toxins from smoke, alcohol, caffeine, dioxin, drugs, radiation, heavy metals, pesticides, and other carcinogens are partially processed in your liver's mitochondria (where your liver produces energy)

The solvent was evaporated in vacuo to give a crude mixture that was further purified by HPLC (water and acetonitrile, both supplemented with 0.1% trifluoroacetic acid) on a Cosmosil C18 AR-II column (5.0 m, 10 250 mm

In other words, the mean changes in these tests were toward the improvement in L-carnitine group compared to placebo