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Magnesium, lifestyle modifications, and addressing underlying causes (sleep apnea, anxiety, hormonal imbalance) complete the approach

Malnourished children have low levels of many enzymes and it is likely that cofactors for carnitine could be lacking as well

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J Med Chem 32:548555 Lazar AC, Wang L, Blttler WA, Amphlett G, Lambert JM, Zhang W (2005) Analysis of the composition of immunoconjugates using size-exclusion chromatography coupled to mass spectrometry

While energy levels can fluctuate, persistent fatigue may indicate an underlying issue in the body