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The metabolic process of fat involves crossing the mitochondrial membrane

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PubMed PMID: 10734331

The injectable route matters because oral L-carnitine has poor bioavailability (14-18%)

10.1007/s00415-022-11169-w 13 BenedictR

230 A similar trial involving 63 women with fibromyalgia found treatment with the antidepressant amitriptyline plus 10 mg of melatonin nightly for six weeks reduced pain more than either amitriptyline or melatonin alone
