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doi: 10.1152/ajpregu.00634.2009 33

Primary pain in ALS includes neuropathic pain and pain due to spasticity or cramps, whereas secondary pain is mainly nociceptive and may appear as muscle weakness and atrophy progress [83]

(More information) There is some low-quality evidence to suggest that supplemental L-carnitine or ALCAR may be beneficial as adjuncts to standard medical therapy of depression, Alzheimer's disease, and hepatic encephalopathy

Significance of l-carnitine for human health
