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Hirsch says

Int J Mol Med 221:201208 Vescovo G, Ravara B, Gobbo V, Sandri M, Angelini A, Della Barbera M, Dona M, Peluso G, Calvani M, Mosconi L, Dalla Libera L (2002) l-Carnitine: a potential treatment for blocking apoptosis and preventing skeletal muscle myopathy in heart failure