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Dehydration can lead to muscle cramps and fatigue
This will help patients maximise their functioning and enhance their quality of life ( Pacing/energy management Several guidelines have been established to guide the management of ME/CFS
A possible reason for this is that there is a higher background concentration of carnitine in muscle than in the liver, or that the degree of supplementation with l- and d-carnitine was insufficient to significantly alter the concentration of acyl-carnitine, such that any change in lipid metabolism in muscle was not obvious
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