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The Importance of Working with a Clinician Given the complexities and potential risks associated with carnitine supplementation, especially in individuals with serious mental health conditions, it is crucial to work with a clinician
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These dysfunctions may arise from impaired pyruvate dehydrogenase (PDH) function identified in muscle cells (390) and serum (184), as well as reduced plasma coenzyme Q10 (CoQ10) levels in ME/CFS blood and plasma (372, 391) that is inversely associated with fatigue severity (391)
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