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Acetyl L-Carnitine is a specific form of carnitine that has the ability to cross the blood-brain barrier

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10.1016/j.bbr.2020.112919 Summary Keywords retina, ischemia, BPC 157, L-NAME, rats Citation Zlatar M, Kokot A, Vuletic LB, Masnec S, Kralj T, Perisa MM, Barisic I, Radic B, Milanovic K, Drmic D, Seiwerth S and Sikiric P (2021) BPC 157 as a Therapy for Retinal Ischemia Induced by Retrobulbar Application of L-NAME in Rats

The thinking is that by concentrating the peptide in the inflamed or damaged areabe it the lower back near the compressed nerve root or the gluteal area for piriformis syndromeyou maximize its local effects before it enters systemic circulation

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