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Others consider it for muscle recovery after strain or overuse

Secondary carnitine deficiency (SCD) is triggered by excessive carnitine loss, a couple of metabolic disorders, poor carnitine content in the diet or malabsorption, Fanconi syndrome (free carnitine loss through renal tubule), peritoneal dialysis or elevated excretion of acyl-carnitine (Winter SC, 2003)

Chronic sleep deprivation can rapidly deplete your antioxidant stores, leaving you vulnerable to oxidative stress

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The downside: administrative burden and lower reimbursement than cash