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DISCUSSION: The pathophysiological mechanism of CFS/ME remains uncertain: immune activation, chronic viral infections, and stress
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The acetyl group attached to L-Carnitine appears to be crucial for these neurological benefits, as it allows the compound to more readily cross the blood-brain barrier and directly support brain cell metabolism
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Evidence of hemorrhage, bruising or a disorder of hemostasis/coagulation is an indication for reduction of the dosage or withdrawal of therapy
