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doi: 10.1016/j.mce.2008.09.007

In patients with chronic kidney disease, reduced reabsorption of carnitine can affect the availability of carnitine in muscles, leading to skeletal muscle atrophy and decreased exercise endurance [262]

Due to their cholesterol-lowering effect, the addition of phytosterols to a heart-healthy diet (low in saturated fat and rich in fruit and vegetables, whole grains, and fiber) could further reduce the risk of CHD

For patients trapped in a state of chronic cellular exhaustion, restoring this baseline energy production is a critical step toward stabilizing their daily symptoms and improving their baseline functioning

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