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Cancer cells can reprogram their metabolism to satisfy the energy as well as the biosynthetic intermediate request and to preserve their integrity from the harsh and hypoxic environment

A research showed that L-carnitine supplementation was safe and might have beneficial effects on fatigue, depressive symptoms and sleep quality in cancer patients (23)

Fermented foods : L-carnitine can also be found in fermented foods such as tempeh or brewer's yeast

Some vials contain endotoxinsfragments of bacterial cell wallssuggesting poor manufacturing practices and a compromised supply chain