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A preliminary randomised controlled trial to compare the effects of duloxetine and acetyl-l-carnitine on pain, depression, anxiety, and well-being in patients with fibromyalgia suggested that acetyl-l-carnitine was efficacious in improving depressive symptoms, pain, and quality of life [91]

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Side effects of L-carnitine may include: 1

Following a brain insult, microglia are the first responders, with reactive astrocytes subsequently becoming activated

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