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They may result from: 1) an inhibition of the homocysteine remethylation pathway that is a consequence of folate or vitamin B 12 deficiencies, or the presence of the thermolabile MTHFR mutation or a functional deficiency in methionine synthase

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In addition, L-carnitine tartrate supplementation was able to blunt declines in strength and power compared to placebo following an exercise challenge

References: Sikiric, P., Blagaic, A