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Thiamine status in humans and content of phosphorylated thiamine derivatives in biopsies and cultured cells

10.1167/iovs.07-1094

Studies have theorised that L-Carnitine is a compound that plays an important role in this process of fat metabolism as its key role is to transport the long-chain fatty acids across the inner membrane

Results of these studies were contradicting regarding overall improvements in symptoms (fatigue, myalgia, dizziness, poor concentration, and depression)

When carnitine levels drop, the body loses its ability to efficiently utilize fat stores for energy, forcing it to rely on less efficient metabolic pathways that generate toxic byproducts and contribute to systemic fatigue