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For individuals living with complex, chronic conditions like Long COVID, myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), and dysautonomia, the daily reality is often defined by a profound, unyielding lack of energy

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When cells see this molecule, they slow down energy production

Abstract Carnitine is essential for the transfer of long-chain fatty acids from the cytosol into mitochondria for subsequent -oxidation

L-carnitines primary role is to transport fatty acids into the mitochondria so they can be burned for energy

In contrast, short-chain fatty acids at least up to octanoate can permeate the inner mitochondrial membrane in a non-esterified state, and they are activated to their CoA-derivatives in the mitochondrial matrix for use in energy-dependent mitochondrial processes