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African Americans produce less vitamin D than do White Americans in response to equal levels of sun exposure and have dramatically lower vitamin D concentrations with some studies indicating up to 82 percent of the African American population as low

J Interferon Cytokine Res 31:653659 Malaguarnera M, Vacante M, Giordano M, Pennisi G, Bella R, Rampello L, Malaguarnera M, Li Volti G, Galvano F (2011) Oral acetyl-l-carnitine therapy reduces fatigue in overt hepatic encephalopathy: a randomized, double-blind, placebo-controlled study

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Additionally, GLP-1s may affect digestion and an oral form of contraception may not be absorbed as effectively, she said