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A randomized, double-blind, placebo-controlled trial involving 78 patients also found no significant reduction in NAS with silymarin therapy compared to placebo [204]

L-Carnitine to promote weight loss in adults: a systematic review and meta-analysis of randomized controlled trials Pooyandjoo M, Nouhi M, Shab-Bidar S, Djafarian K, Olyaeemanesh A (2016)
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When therapy stopped, sperm patterns returned to their original low levels
