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Adherence, dose tolerance, baseline metabolism, and lifestyle all influence outcomes

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This is an observational study, not a randomised trial, and the authors caution against basing treatment recommendations on these data, without further confirmation

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Motility is the process by which food is moved through the body, beginning with the mouth and continuing through the intestines and eventual excretion

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Acetyl L-Carnitine is a modified form of carnitine that has the dual benefit of supporting mental fatigue, improving mood levels and alertness as it crosses the blood-brain barrier with ease while supporting the metabolic effects (shuttling of long-chain fatty acids into the mitochondria) that carnitine has become known for

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Days 3 to 5 move toward organ failure At 710% or more body weight lost, the body enters survival triage

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doi:10.1172/jci.insight.131774 134

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