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However, it has been shown that vitamin B3 supplementation in the form of niacin helps to restore cellular NADH/NAD + balance and encourages mitochondrial biogenesis in human fibroblasts from a complex I disease patient[29], and has been shown to improve survival in a respiratory chain complex I disease C

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Therefore, the biotransformation of D-carnitine or crotonobetaine into L-carnitine by resting cells of E
