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showed that supplementation with l-carnitine alleviated pain, tenderness and release of creatine kinasea marker of muscle injury-indicating that the nutrient was effective in reducing tissue disruption and subsequent leakage of cytosolic proteins [57]

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The average 7-12 year delay from symptom onset to diagnosis reflects systemic failures in medical education, clinical assessment, and healthcare system organization rather than inherent limitations of medical knowledge or technology

Although the majority of studies on the microbiotas of people with endometriosis focus on the vaginal, cervical, uterine, or gut microbiotas, studies have profiled the bacteria found in endometriotic lesions 31,77 and extracellular vesicles (ECVs) isolated from peritoneal fluid of patients with endometriomas 78 by 16S sequencing, demonstrating that bacteria can be found in disease lesions and ECVs