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l-carnitine administration significantly improved cognitive and renal functions.. Parnetti, L, et al, Pharmacokinetics of IV and oral acetyl-L-carnitine in a multiple dose regimen in patients with senile dementia of Alzheimer type. in European Journal of Clinical Pharmacology , Volume 42, Issue 1, 1992, pp 89 - 93

All but BMI were within normal range ( Table 2 ), which excludes frequent conditions that may independently cause fatigue (insufficient levothyroxine dose, anemia, diabetes with poor glycemic control, infection)

Fielding, et al., L-Carnitine supplementation in recovery after exercise, Nutrients, 10, 349 (2018).

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