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2025 update), mention acetyl-l-carnitine as a therapeutic option alone or in combination with other agents [97]

L-Carnitine is amino acid that help the body to convert food in particularly fat to energy, providing support for endurance exercise and during recovery from high intensity exercises such as sprinting and weightlifting

Folate is involved in more than 200 biochemical reactions in the body

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[7] Both called for more randomized controlled trials

In the case of renal impairment, urinary elimination of carnitine increasing, endogenous synthesis decreasing, and poor nutrition as a result of disease-induced anorexia can result in carnitine deficiency