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Reduced appetite often makes it difficult to maintain consistent protein intake through food alone

Carnitine deficiency has been widely reported in patients with epilepsy being treated with valproic acid and there have been reports that carbamazepine and phenobarbital may also deplete carnitine levels especially if used in combination with valproic acid

This modification, known as an omega-amino acid modification, may help improve the peptides resistance to enzymatic degradation

doi:10.2147/JEP.S249747 National Center for Biotechnology Information

Its not a steroid and wont directly increase muscle size without training stimulus