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A recent RCT studied 65 female FM patients randomised to receive either duloxetine 60 mg/day or ALC 1500 mg/day p.o

And if we're not expending the energy, how can we sleep and then we wake up with more and we just carry the stressors from the day before rather than just breaking it down

First, each serving will give you 2.1g of L-Carnitine L-Tartrate