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Lets take a look at some of the research studies on miRNA changes in ME/CFS patients: Endothelial function and eNOS: A 2021 study looked at five specific miRNAs involved in endothelial function

doi: 10.1001/jamaophthalmol.2024.4400 9 AnnweilerC.DrouetM.DuvalG

Results: Compared to placebo, L-carnitine tartrate supplementation was able to improve perceived recovery and soreness ( p = 0.021), and lower serum creatine kinase ( p = 0.016)
ALCAR has a place in the treatment of vascular cognitive impairment (VCI) as was demonstrated in a recent DBRPCT (Young et al