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Assuming standard FDA review timelines and no significant delays, approval could come as early as 2027

Neurology 83 , 628637 (2014)

Transcriptional regulation of metabotropic glutamate receptor 2/3 expression by the NF-kappaB pathway in primary dorsal root ganglia neurons: a possible mechanism for the analgesic effect of l-acetylcarnitine

Maintenance dosing continues at the established effective dose (0.51.0mg) for 1421 days total, administered 3060 minutes before controlled UV exposure when applicable