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sphenanthera had stronger effects than S

High levels of TNF- and nerve growth factor can damage myelin and reduce epidermal growth factor, thus decreasing their myelinotrophic effects [36,37]

This is a recognized clinical problem, and some nephrologists prescribe intravenous L-carnitine for dialysis-related carnitine deficiency, particularly when patients have intradialytic hypotension, muscle weakness, or anemia resistant to erythropoietin

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Neurosurgery 56(2):364373