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Preclinical evidence suggests that acetyl-l-carnitine is endowed with antidepressive properties related to the epigenetic regulation of mGlu2 expression [32]

doi: 10.1123/ijsn.4.3.280

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Therefore the liver cirrhosis patients who suffered from these symptoms were considered to have a possibility of carnitine deficiency

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Fibromyalgia affects up to 3% of the general population and is a syndrome characterised by widespread pain, fatigue, sleep disturbances, and cognitive dysfunction, somatic symptoms, and psychiatric disorders [90]