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Description
N Engl J Med 347:472480 Elfert AA, Abo Ali L, Soliman S, Zakaria S, Shehab El-Din I, Elkhalawany W, Abd-Elsalam S (2016) Randomized placebo-controlled study of baclofen in the treatment of muscle cramps in patients with liver cirrhosis

When carnitine levels drop, the body loses its ability to efficiently utilize fat stores for energy, forcing it to rely on less efficient metabolic pathways that generate toxic byproducts and contribute to systemic fatigue

the animals are then divided into separate lots and isolated in individual cages
doi: 10.1097/ICO.0b013e318165b19e
