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However, in a double-blind, placebo-controlled trial in 32 healthy adults, propionyl-L-carnitine (1 g/day or 3 g/day) for eight weeks did not improve aerobic or anaerobic exercise performance (130)

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The PrepTide: Disclaimer

If both anxiety and cognitive impairment are present simultaneously, a provider might consider low-dose Selank alongside Semax, though this combination requires clinical judgment about dosing and timing