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It is believed to be a combination of genetic and environmental factors

According to the authors of a 2017 meta-analysis 9 , we also need more welldesigned, randomised, placebocontrolled trials of LCarnitine for cognition enhancement in cognitively healthy people, with large samples and relatively longterm followup

However, further research is needed to confirm that the improvements in systemic inflammation and joint symptoms observed with these therapies are also tied to improvements in joint inflammation.