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PubMed, NCBI

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L-Carnitine L-Tartrate: Unlocking Energy and Enhancing Metabolism Most mammals, plants, and certain microorganisms use the quaternary ammonium molecule carnitine in their metabolism

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In their report, the researchers concluded Carnitine is occasionally low in the sera of MS and NMO, but does not seem to play a major role in depression and fatigue in these diseases
