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While there isnt a clear mechanism behind this side effect, its thought to be related to L-carnitines effects on energy metabolism

Glutathione is a powerful antioxidant naturally found in the human body, playing a crucial role in neutralizing free radicals, detoxifying harmful substances, and maintaining the immune system

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It performs less well when the main issue is severe structural degeneration, uncontrolled overuse, poor sleep, inadequate protein intake, or a problem that requires procedural or surgical care