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Adding ALC Acetyl-L-Carnitine (ALC) is another OTC used in combination with PEA to treat fibromyalgia

Of note, both the reduction of oxidative stress (Amic et al., 2018

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Conversion of O to H 2 O 2 is performed by the cyclic oxidation of the Cu 2+ or Mn 2+ transition metal ion localized in the SOD active site ( 2 O 2 , the substrate for production of OH via the Fenton reaction