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Only one trial [10] was free of all biases except reporting bias

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The through line of history is that people will try to sell anything with all sorts of fantastical claims, Joshua Sharfstein, a health-policy professor at Johns Hopkins and a former principal deputy commissioner of the F.D.A., told me

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The human heart derives up to 70% of its total energy from the beta-oxidation of fatty acids, making the myocardium exquisitely sensitive to carnitine depletion