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In strict vegetarians, more than 90% of the daily carnitine requirement is obtained by endogenous synthesis (1719), whereby humans can synthesize ~12 mol carnitine/kg/day (20)

However, clinically successful treatment strategies are still lacking and are often inspired by treatment options for diseases with similar clinical presentations, such as ME/CFS

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(PubMed) Bidulescu A, Chambless LE, Siega-Riz AM, Zeisel SH, Heiss G

Comprehensive nutritional and dietary intervention for autism spectrum disorder-a randomized, controlled 12-month trial