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There are, however, no adequate and well controlled studies in pregnant women

doi: 10.1159/000112963 [DOI] [PubMed] [Google Scholar] 110

It works by transporting fatty acids into your cells mitochondria, where they are burned for energy

Int J Clin Pharmacol Res 18(1):1319 Russell IJ, Kamin M, Bennett RM, Schnitzer TJ, Green JA, Katz WA (2000) Efficacy of tramadol in treatment of pain in fibromyalgia
