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Furthermore, liposomal nanoparticles, particularly transfersomes, have demonstrated the ability to penetrate the intact tympanic membrane and reach the inner ear compartments without causing hearing loss or hair cell damage, presenting a safe topical delivery mechanism (Kashfi Sadabad et al., 2022)

Its worth noting that defects in the bodys natural carnitine production usually do not lower blood carnitine levels because the level of carnitine in the blood can be maintained via efficient absorption in the kidneys

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Effects of castration and androgen replacement on erectile function in a rabbit model