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10.1080/01904168909364048 J

This helps bring back water and comfort

Javed, M., Cao, W., Tang, L., & Keener, K

Montero-Blay, A

These synthetic forms are not biologically active in the same way as the natural L-isomer and can actually competitively inhibit the absorption and utilization of naturally occurring L-carnitine, potentially inducing a state of carnitine deficiency and worsening fatigue symptoms