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L-Carnitine is a naturally occurring compound in all foods, but significant amounts are only found in dark meats (due to high concentrations of mitochondria)
Carnitine also has osmoprotective properties, which can inhibit the activation of transient receptor potential vanilloid type 1 (TRPV1) and protect corneal and conjunctival cells from hyperosmotic stress in dry eye [320]
The proposed mechanism is Dexs reduction of neuroinflammation: it suppresses surgery-induced microglial activation and upregulates mitophagy in the hippocampus
Rowling, E
As a result, patients may face higher out-of-pocket costs when switching, which can impact access and adherence to treatment. To help manage these costs, Billingsley recommends exploring manufacturer co-pay cards, patient assistance programs, direct pharmacy options, or platforms like GoodRx
& Rahlfs, S
