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After 12 weeks, the L-carnitine group showed significant improvement in morning stiffness, VAS, TJC, CRP, DAS28, and MHAQ compared to baseline

This presentation requires urgent medical evaluation, as significant blood loss can lead to haemodynamic instability and anaemia

It also highlights the relevance of both vitamin D 2 and D 3 , and the importance of food fortification and supplementation strategies, particularly in regions with limited sun exposure or dietary diversity

Inazu M, Matsumiya T., "Physiological functions of carnitine and carnitine transporters in the central nervous system", Nihon Shinkei Seishin Yakurigaku Zasshi, 2008 Jun(vedi fonte) 3