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All medicines in use, original brands and generics, are subject to the same monitoring and reporting for adverse events. According to the researchers in the above-mentioned L-citrulline study, that's because when L-arginine is taken orally, it undergoes significant pre-systemic metabolism, so by the time it gets into the system, there's not really enough arginine to make much of a difference.
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When the original patent (the exclusive right granted by governments to an inventor to manufacture and sell their invention) of a medicine runs out it becomes legal for ‘copies’ of the original active ingredient to be produced and marketed.
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Medically reviewed by:
Dr Nicholas Antonakopoulos
Dr Nicholas Antonakopoulos graduated from the University of London in 2006