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The second assessment performed by abstracts analysis, excluded studies in a language other than English, studies with lack of full text, reviews, case reports, animal studies and in-vitro studies

(PubMed) De Grandis D, Minardi C

This research is largely driven by early biomarker discoveries showing that many ME/CFS patients suffer from a deficiency in serum acylcarnitine, which directly impairs mitochondrial oxidative phosphorylation
Wang ZY, Liu YY, Liu GH, Lu HB, Mao CY (2018) L-carnitine and heart disease
