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Patients frequently describe this cognitive dysfunction as "brain fog"a terrifying sensation where memories slip away, words become impossible to find, and concentration shatters

This step involves meticulously controlled reaction conditions for optimal ionic bonding between the carnitine and fumarate moieties

It should be noted, however, that D-Carnitine should only be used under medical supervision because excessive doses can interfere with the body's natural carnitine levels

[DOI] [PubMed] [Google Scholar] 149.Li S, Wu W, Wu W, Duan X, Kong Z, Zeng G

All clinic staff involved in product dispensing, visit assessments, conduct of the study, monitoring charts and analysis of outcomes remained blinded for the duration of the study