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Acta 1864 , 11651182 (2017)

One study looked at if a buffered form of creatine monohydrate would get into muscle better to improve exercise capacity more

Kaschek, D., Mader, W., Fehling-Kaschek, M., Rosenblatt, M

642 In a multicenter, randomized, double-blind, placebo-controlled phase-3 clinical trial conducted in China, acetyllevocarnitine hydrochloride treatment for 24 weeks significantly improved symptoms and somatosensory symptoms in patients with DPN, with a treatment effect of 65% higher than placebo