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Because the absorption of L-carnitine is also very critical, which is also related to liver function

4 Discussion The serum serotonin levels were low before L-carnitine, L-carnitine supplementation was associated with a robust increase in peripheral serotonin and reduction of fatigue, and there was a statistically significant correlation between serum serotonin and fatigue levels in both patient groups

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Second is the formation of unknown byproducts

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