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Research has found that carnitine deficiency can cause smooth muscle dysmotility (changes in speed, strength, or coordination) of the gastrointestinal tract (similar to what it does to muscle metabolism, causing muscle weakness), which can cause gastrointestinal discomfort and changes in the microbiota ( gut dysbiosis ), as well as constipation

Chen Y-Y, Chen C-K, Wu T-T, Ho C-Y, Yeh T-C, Sun G-C, et al

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Effect of sleep hygiene training given to elderly individuals on daytime sleepiness and fatigue: A randomized controlled trial
