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The combination of restricted NP practice authority, a large rural Appalachian population, limited Medicaid drug coverage, and geographic isolation creates real barriers for patients outside the Philadelphia and Pittsburgh metros

Acetyl-L-carnitine (CLA) is an ester of the trimethylated amino acid, L-carnitine, and is synthesized in the human brain, liver, and kidney by the enzyme CLA-transferase

Anecdotal reports from researchers and clinicians paint an even more compelling picture, with some describing dramatic improvements in shoulder function within weeks of starting protocols