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Researchers from the University of Turin published the results of a prospective, randomized, and controlled trial evaluating the use of L-carnitine and selenium when combined with standard therapy for Graves disease, an autoimmune disorder that affects the thyroid gland

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This severe metabolic inflexibility directly contributes to the debilitating phenomenon of post-exertional malaise (PEM), where patients experience a massive, multi-day crash in symptoms following minor physical or cognitive exertion, effectively trapping them in a cycle of energy debt

The smell is caused by gut bacteria breaking down unabsorbed L-carnitine into a strong-smelling compound called trimethylamine (TMA) [2] [3]

Giancaterini A, De Gaetano A, Mingrone G, et al