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( L- Carnitine ) D carnitine Acetyl L- carnitine Propionyl L- carnitine L- carnitine fumarate L- carnitine L-tartrate D Carnitine L- carnitine 0.25-1 mM L- carnitine ( L- Carnitine ) 4 56 162 4 87 99 8 227 4 4 7 4 3 5 1/2 3 2 2 2 0.2 1/2 0.1 60 180 10 12 L- carnitine 54 86% 14-18% 1

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However, in clinical trials, the combination of gemcitabine with IGF-1R inhibitor received little overall survival benefits in advanced pancreatic cancer patients (Philip et al., 2014

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