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"The evidence supports the hypothesis that the correlation between L-carnitine and atherosclerosis might be more complex than already postulated and the alteration of mitochondrial DNA (mtDNA) methylation in platelets could be involved in the pathogenesis of this multi-factorial disease," researchers noted

These medications, prescribed for type 2 diabetes and weight management, work by slowing gastric emptying and reducing appetite, which can lead to fatigue through reduced caloric intake, nutritional imbalances, and metabolic adjustments

You have to get it from food or supplements

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