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[14] Gut infections, including SIBO : Researchers have found that an overgrowth of various bacteria can lead to carnitine deficiency

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Gastroenterol Clin North Am 2010;39:681-695

Published: April 4, 2019) Joseph, Jason, MD, et al

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To manage and live with ME/CFS, it is also important that patients schedule regular trips to their physician to manage their symptoms, as well as discuss complementary approaches the patient may have adopted- such as new supplements (23)