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Lab Invest 99:749763 Zidan A, Hedya SE, Elfeky DM, Abdin AA (2018) The possible anti-apoptotic and antioxidant effects of acetyl l-carnitine as an add-on therapy on a relapsing-remitting model of experimental autoimmune encephalomyelitis in rats

If you use strong actives, consider separating applications (different times of day) and introducing one change at a time.

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