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Alternatively, if the functional deficit in CFS patients leads to recruitment of abnormal ATP production pathways (63), carnitine supplementation might restore the use of normal reaction pathways, thus promoting metabolic flexibility

Back Pincock, S (29 July 2006) 'Ellis Samols', The Lancet , 368/9533, 360

The effect of long-term homocysteine-lowering on carotid intima-media thickness and flow-mediated vasodilation in stroke patients: a randomized controlled trial and meta-analysis

The study showed that people with depression have comparatively low levels of the substance, with the lowest levels observed in those with the most severe symptoms