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We plan to perform sensitivity analyses to explore the effect of departures from the missing data assumptions made in the efficacy analyses

74 In another study, ATP levels were lower, pyruvate levels were higher (indicating reduced mitochondrial uptake for conversion into energy), and blood flow was reduced in some back muscles of fibromyalgia patients

In contrast, carnitine may benefit those in a calorie deficit for weight loss or seeking improved endurance
Bray C, Bell LN, Liang H, et al
Comprehensive metabolomic profiling and incident cardiovascular disease: a systematic review
One study of ME/CFS cases found evidence of a shift toward branched-chain amino acids as an energy source during intense exercise (21)