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This was found to be linked to the PPI (omeprazole) that was given as a prophylactic to PREVENT post-surgery ulcers

5.2 ApoE and amyotrophic lateral sclerosis (ALS) ALS is a devastating neurodegenerative disease that affects upper and lower motor neurons in the brain and spinal cord, leading to progressive muscle weakness, stiffness, and eventual paralysis (Mead et al., 2023

Benefits Carnitine has several benefits, including supplying energy from fat stores, promoting weight loss due to its role in fatty acid oxidation, and seems to help sparing amino acid use during exercise

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We need more research to know for sure whether PQQ supplements are good for your health