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235 In a controlled trial involving 130 fibromyalgia patients being treated with duloxetine plus pregabalin, the addition of 500 mg of acetyl-L-carnitine plus 600 mg of palmitoylethanolamide (PEA) twice daily for 12 weeks improved Widespread Pain Index, Fibromyalgia Impact Questionnaire, and Fibromyalgia Assessment Status scores more than medical treatment alone

Tartaric is an alpha-hydroxy-carboxylic acid, is diprotic and aldaric in acid characteristics, and is a dihydroxyl derivative of succinic acid

This study is like looking at a video (not just a snapshot) of the processes as they unfold and the research team suspects elements of the immune system will play a flare-triggering role