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In fact, sometimes due to a genetic disorder, it becomes impossible to produce or obtain L-carnitine

A Western-style diet, rich in fats and refined carbohydrates, has been shown to induce dysbiosis and compromise gut barrier integrity

This creates a vicious cycle: viral inflammation depletes antioxidants, genetic bottlenecks prevent the synthesis of new antioxidants, and the resulting oxidative stress causes the mitochondria to shut down ATP production, leading to the debilitating fatigue that characterizes ME/CFS and Long COVID

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