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Description
When a POTS patient simply transitions from lying down to standing up, their cardiovascular system requires an immediate, massive surge of ATP to constrict blood vessels and pump blood upward against gravity

SCD, Secondary carnitine deficiency

Beyond energy production, L-carnitine also helps remove metabolic waste products from cells and supports overall cellular efficiency

doi: 10.1093/gerona/58.11.b970

Grosch, S., Schiffmann, S

This might increase the change of bruising and bleeding