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Open questions the research still needs to answer Important gaps remain

It is a slow but sustainable process, and therefore best suited to longer fitness exercises and constant energy production

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Patients with these conditions require careful evaluation by their provider before initiating therapy, as they may be at increased the risk for gastrointestinal adverse effects or complications

6) Relacin con el marco vascular-mitocondrial (visin integradora) Tanto en EM/SFC como en covid persistente se han propuesto modelos donde confluyen: Hipoperfusin tisular y/o alteracin microcirculatoria (en subgrupos) Estrs oxidativo Disfuncin autonmica Bloqueo o ineficiencia del metabolismo mitocondrial La carnitina encajara como pieza de apoyo principalmente en el eje metablico-mitocondrial (uso de lpidos, limpieza de acilos, eficiencia energtica), y de forma secundaria podra influir en aspectos de estrs oxidativo y funcin celular

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