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Furthermore, L-carnitine is reported to lower the threshold for seizures in some individuals, especially those with a history of seizures, but no evidence to support this alleged effect has been found [58]

Of note, supplementation with L-carnitine was given in patients with cirrhosis to control hyperammonemia (N=27), to reduce muscle cramps (N=6), or to prevent carnitine deficiency (N=2)
Am J Men's Health

In addition to targeted and untargeted metabolomics in RA, integrating proteomics, transcriptomics, and genomics can help reveal the specific disease pathogenesis (68)

These events can further affect nutrient absorption and gut motility, and become a vicious cycle causing symptoms such as constipation and muscle weakness, as well as neurological issues such as mood swings, fatigue , brain fog , etc