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For example, reducing the use of pulmonary surfactant in children with neonatal respiratory distress syndrome ( in vivo studies, incorporating long-term neuro-developmental follow-up, are essential to rigorously evaluate the therapeutic potential of L-carnitine/acetyl-L-carnitine in protecting the vulnerable developing brain following HIE ( In addition, the theoretical effect of L-carnitine is not limited to the above mentioned clinical applications

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