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Additionally, many ME/CFS and Long COVID patients show an imbalance in gut bacteria, formerly known as dysbiosis, with fewer beneficial species like Faecalibacterium and Bifidobacterium, and more pro-inflammatory Gram-negative bacteria

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It promotes mitochondrial fatty acid oxidation and performs other biochemical functions, including acetyl buffering, maintaining sufficient coenzyme A concentrations in mitochondria during anaerobic energy production, stimulating the tricarboxylic acid cycle, and stimulating ATP export from mitochondria during sustained muscle exercise

This helps keep products slightly more acidic and compatible with skin's natural pH

L-carnitine optimizes the use of fats as energy, but does not replace a balanced diet and regular physical activity