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Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

The L-carnitine is a molecule naturally present in the body, primarily known for its role in energy metabolism by facilitating the transport of fatty acids into the mitochondria

Some risk factors are more important than others

These limitations have led to more extensive research into finding effective alternative options for treating DPN

Not only does carnitine help the cells use oxygen and dispose of waste more efficiently, it also has those incredibly remarkable benefits for elderly individuals by mitigating fatigue (presumably for the same reason -- the increased efficiency of cellular function and less energy wasted)