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I think it has multitudes of impacts on many tissue systems and organ systems in our body that were not paying attention to

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The following potential mechanism is proposed: l-carnitine prolongs the ability of endothelial cells to regulate blood flow during ischaemia, and an increase in serum carnitine concentration enhances capillary endothelial function [38]

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Dal-Bianco A, Grabner G, Kronnerwetter C, Weber M, Hftberger R, Berger T, et al

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However, efficacy varies markedly by strain, formulation, dosing regimen, host characteristics, and disease activity, and not all probiotic products are effective

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