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Pharmaceutical inhibitors like finasteride block both types systemically, which explains their effectiveness but also their side effect profile
With no human trials and no FDA approval, it remains strictly experimental
For instance, the acylation reaction using L-carnitine and propionyl chloride can be carried out under conditions using dry propionic acid as the solvent and p-toluenesulfonic acid as the catalyst
If fatigue becomes excessive or does not improve after a few days, contacting a doctor as soon as possible, as it could indicate a potentially serious side effect that requires immediate attention or adjustment to a treatment plan is needed
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