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Iran J Kidney Dis 13:7486 Bruls YM, de Ligt M, Lindeboom L, Phielix E, Havekes B, Schaart G, Kornips E, Wildberger JE, Hesselink MK, Muoio D, Schrauwen P, Schrauwen-Hinderling VB (2019) Carnitine supplementation improves metabolic flexibility and skeletal muscle acetylcarnitine formation in volunteers with impaired glucose tolerance: a randomised controlled trial

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Notably, even specialized program metrics are low: Claritas Rx benchmarking across specialty brands finds an overall paid fill rate of only ~62% ( [12] ), meaning 38% of prescriptions never convert to paid claims

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