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Human studies, on the other hand, indicate that taking acetyl-L-carnitine daily helps reverse the decline in brain function associated with Alzheimers and other brain diseases (x) (xx) (xxx)

For purposes of this paragraph (d), an extraordinary circumstance is an event beyond the control of an ASC (for example, a natural or man-made disaster such as a hurricane, tornado, earthquake, terrorist attack, or bombing) that affected the ability of the ASC to comply with one or more applicable reporting requirements with respect to a calendar year

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