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This is why L-Carnitine is most effective when combined with

Le glutathion : le matre des antioxydants

Environmental pollutants and toxins are notable exogenous sources of free radicals [3]

The pathogenesis involves a breakdown of self-tolerance, enhanced antigen presentation, T and B lymphocyte activation, autoantibody production, and cytokine-mediated thyroid tissue damage

Front Neurosci 15:726457 Holton KF, Kirkland AE, Baron M, Ramachandra SS, Langan MT, Brandley ET, Baraniuk JN (2020) The low glutamate diet effectively improves pain and other symptoms of gulf war illness

Kaiser found that adding other nutrients plus a stimulant (either caffeine or methylphenidate) was much more effective in ME/CFS
