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Given competitive dynamics and valuation, I rate LLY as 'Hold' for now

Within experimental models, L-Carnitine participates in reversible esterification reactions with acyl-CoA derivatives, forming acylcarnitines that are translocated into the mitochondrial matrix for -oxidation

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The study also highlighted that adverse effects were reported in approximately 50% of the cohort during follow-up, with gastrointestinal symptoms being the most commonly reported adverse effects, including nausea and vomiting