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l carnitine benefits diabetes Is L-Carnitine good for diabetics? The Role of L-Carnitine in
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025039 discloses a method for preparing L-carnitine which includes ring opening and epoxidation of (S)-3-hydroxy-gamma-butyrolactone as a starting material, and a nu- cleophilic substitution with trimethylamine

Komaroff AL, Lipkin WI

An important implication is that patients with ME/CFS and those with fatigue in the course of long COVID should not be studied as a single group, at least until the mechanisms are better understood
