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And meth makers commonly cut their products with strong chemicals or medications (such as fentanyl or other opioids) to save money

The process is driven in part by genes in what's known as the "mitochondrial respiratory chain complex," a group of enzymes that help convert oxygen, sugar, and proteins into ATP through a process called oxidative phosphorylation

Narcotic addiction, physical dependence and relapse

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According to a 2021 review, some studies suggest that L-carnitine may help improve: exercise and muscle recovery muscle oxygen supply exercise performance, endurance, and power However, the researchers note that some studies found no significant benefits from L-carnitine supplementation on these parameters