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This larger trial enrolled 536 subjects and ran for 24 weeks

234 Another randomized controlled trial in 65 women with fibromyalgia compared 500 mg of oral acetyl-L-carnitine three times daily to treatment with the antidepressant duloxetine

J Orthop Surg Res 17 , 290 (2022)

doi: 10.3390/nu11020482

Med Clin 149:227228 Moreno-Izquierdo C, Zurita J, Contreras-Yametti F, Jara-Palacios M (2020) Mycobacterium abscessus subspecies abscessus infection associated with cosmetic surgical procedures: Case series

This is not optional omitting Z79.4 understates the complexity of management, may affect risk adjustment (HCC documentation support), and misrepresents the patients treatment regimen