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Additionally, if gut permeability is indeed increased in ME/CFS patients, microbes and antigens may be able to cross the epithelial barrier into surrounding tissue and blood, potentially crossing the BBB and altering the HPA axis (443)

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Amino Acids , including L-Carnitine, transport fatty acids into cells mitochondria where fat is burned for energy, enhancing fat loss and exercise performance

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This guide is the third option: what the mechanism actually is, what the dose-response looks like, and what we tell patients at Perfect B about drinking during a cycle