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Casciani et al 307 performed an 18-patient, nonrandomized cross-over study, and showed a significant improvement in asthenia after 2 months of L-carnitine administration, regardless of the order of drug administration

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A major cause of aging is a reduction in the energy-producing components of the cell, resulting in reduced cellular metabolic activity, and the accumulation of cellular debris.1-7 L-carnitine helps maintain cellular energy metabolism by assisting in the transport of fatty acids from the cytosol into the mitochondria within the cell, where fats are oxidized to produce the cellular energy (adenosine triphosphate or ATP).8-13

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The Human B(12) Trafficking Chaperones: CblA, ATR, CblC and CblD

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doi:10.1056/NEJMoa2206038 Sikiric P, et al

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