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It has been characterised in clinical research for HIV-associated lipodystrophy (PMID 20554713)

You might notice better energy within 2-4 weeks

In addition to the rapid epigenetic modulation of glutamatergic function, preclinical studies showed that boosting mitochondrial metabolism of LAC protects against oxidative stress, rapidly ameliorates insulin resistance, and reduces neuroinflammation by decreasing proinflammatory pathways such as NFkB in hippocampal and cortical neurons

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Many are sold as wellness or supplement products, a category that is not reviewed for effectiveness or dose before sale