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10.1016/j.tjnut.2023.12.051 J Nutr

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A 2017 systematic review and meta-analysis identified 12 intervention studies that assessed the effect of L-carnitine or ALCAR on cancer-related fatigue (reported as a primary or secondary outcome) in cancer survivors (108)

This rheological shift directly propagates into high-speed rotary presses (exceeding 300,000 tablets per hour) as erratic die fill, weight variation exceeding 5% RSD, and punch-face sticking that mars tablet surfaces