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They concluded that these improvements were related to the acetyl L-carnitine (ALC)/ALA combinations ability to protect and repair age-induced mitochondrial DNA damage, thereby boosting mitochondrial function and improving energy turnover

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Following the loading protocol, athletes can generally maintain stores with a daily maintenance dose of 3-5 grams per day." Jose Antonio, Ph.D., the co-founder of the International Society of Sports Nutrition, also labels the loading protocol "something you should definitely do" in his video "8 Questions About Creatine Answered." Con: Possible side effects

they can offer additional training or see if an alternative therapy exists