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Unlike other forms which typically help convert stored fat to energy, ALCAR readily crosses the blood-brain barrier & acts within the brain itself

There is also the matter of international market readiness

Known hypersensitivity to bremelanotide

Pharma-grade factories work under FDA-inspected rules

During high-intensity exercise, carnitine appeared to prevent metabolite build up which allowed more carbohydrates to be used as fuel (this is a good thing during high-intensity exercise as saving muscle glycogen is not the primary concern)