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Citrulline can be converted to arginine by the sequential action of the enzymes argininosuccinate synthase and argininosuccinate lyase (Chowdhury et al., 2017)

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Effect of oral supplementation with L-carnitine on performance time in a 5000 m race and responses of free fatty acid and carnitine concentrations in trained-endurance athletes

Unfortunately, the peptide has yet to undergo thorough clinical testing, and the only clinical trial performed on patients with inflammatory bowel disease (IBD) has not been published [28]