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[Link] L-Carnitine is an important contributor to cellular energy metabolism Our study indicates that oral administration of levocarnitine produces a reduction of total fat mass, increases total muscular mass, and facilitates an increased capacity for physical and cognitive activity by reducing fatigue and improving cognitive functions. Vermeulen, RC, and Scholte, HR, Exploratory open label, randomized study of acetyl- and propionylcarnitine in chronic fatigue syndrome. in Psychosomatic Medicine , Volume 66, Issue 2, March 2004, pp 276 - 282

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