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She is excreting more carnitine (as short-chain acyl carnitine) than she can synthesise, so supplements will permit her to continue to excrete propionyl carnitine yet maintain a sufficient amount in muscle
Insights from myalgic encephalomyelitis/chronic fatigue syndrome may help unravel the pathogenesis of postacute COVID-19 syndrome

PMID: 32154768
Therefore, aerobic glycolysis-related signaling pathways may be a key factor
