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The dynamic changes in the carnitine pool under physiological and pathological conditions are extremely complex, and existing research may not yet have fully revealed the complete picture

Long-term administration of L-carnitine to humans: effect on skeletal muscle carnitine content and physical performance

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in 2022 involving 3,304 PCS patients in which a subset of individuals showed a plethora of symptoms including headaches (27.8%), fatigue (26.7%), muscle pain (23.14%), loss of smell (22.8%), altered taste (12.1%), sleep disturbances (63.1%), confusion (32.6%), focus impairment (22%), symptoms resembling PTSD (31%), feelings of depression (20%), and even thoughts of self-harm (2%) [116]