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For the broader question of whether bigger numbers create better real performance, see Does Higher C Rating Really Matter

(1992): Prevention of postischemic canine neurological injury through potentiation of brain energy metabolism by acetyl-L-carnitine

J Pediatr 1998

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Here we review two supplements, alpha-lipoic acid (ALA), also known as thioctic acid, and acetyl-L-carnitine (ALC), and data of treatment outcomes from the available literature suggest comparable efficacy to currently available pharmaceuticals for the treatment of neuropathic pain