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Dietary supplementation with L-Carnitine has been widely used to improve exercise performance, recovery, reduce glycogen utilization, muscle soreness, improve oxygen delivery to muscles

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When B12 levels are borderline, clinical suspicion remains high, or total B12 is unreliable (as in chronic liver disease), additional tests can provide clarity

Lai HH, North CS, Andriole GL et al: Polysymptomatic, polysyndromic presentation of patients with urological chronic pelvic pain syndrome