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Despite the existence of harmonized international standards, such as those from the United States Pharmacopeia (USP Herbal Medicines Compendium) [217], the European Pharmacopoeia [218], and the International Organization for Standardization (ISO 19609, ISO 22590) [219], adoption remains limited in academic and preclinical research

Supplementary material The Supplementary Material for this article can be found online at: Abbreviations HCC, Hepatocellular Carcinoma

[PubMed] [PMC] Li M, Yang K, De Vivo I, Eliassen AH, Qureshi AA, Nan H, Han J (2023) Association between plasma L-carnitine levels and mitochondrial DNA copy number

So while this comparison raised questions about how the treatment stacks up against competitors, it doesnt necessarily affect its chances of approval