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PMOS appears more in current medical literature, and the framing matters here because NAC's mechanism targets the inflammation-and-oxidative-stress axis that PMOS captures more accurately than the older PCOS framing implies

AAs only transiently stimulate glucagon secretion and yet GRA treatment results in a dramatic elevation of circulating glucagon without increasing pancreatic glucagon content

The difference between the two classes is less impressive for the kidney outcome

Iliceto S, Scrutinio D, Bruzzi P, D'Ambrosio G, Boni L, Di Biase M, Biasco G, Hugenholtz PG, Rizzon P: Effects of L-carnitine administration on left ventricular remodeling after acute anterior myocardial infarction: the L-Carnitine Ecocardiografia Digitalizzata Infarto Miocardico (CEDIM) Trial