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Rhodes ([b]LER[/b] one of the dermatologists who authored the BMJs report) actually works with Clinuvel the company developing melanotan one for EPP, PMLE, AK, PDT, etc

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2011;471(7339):S101

Because L-carnitine is known to be an essential co-factor in fatty acid and energy metabolism, and patients on dialysis tend to be malnourished, it might follow that repletion of L-carnitine by the intravenous or oral route could improve nutritional status, particularly among patients with low dietary L-carnitine intakes