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As a result, the global obesity epidemic is prevalent and worsening in most parts of the world
L-Carnitine is one of the most used nutritional ingredients for athletes and for individuals who pay close attention to their energy-yielding metabolism

The improvement was even more impressive six months later (177)

Epilepsy Behav 22(4):671677 Teoh HL, Carey K, Sampaio H, Mowat D, Roscioli T, Farrar M (2017) Inherited paediatric motor neuron disorders: beyond spinal muscular atrophy

Good nutrition is part of that maintenance plan

J World Aquaculture Soc 40:266273