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During acute illness, direct consequences of viral reactivation or infection are thought to occur in localised areas such as the brain and neuronal cells, muscle cells, and cardiac myocytes [Extended Figure 8 in (127)]

41 Indications Diabetic peripheral neuropathy (DPN) A Cochrane meta-analysis in 2019 evaluating the use of ALC in patients with DPN demonstrated moderate reduction (approximately a 15-point decrease on a 100-point visual analog pain scale) in neuropathic pain amongst patients taking 2000-3000 mg/d of ALC orally

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Cognitive Impairment: L Carnitine is involved in brain metabolism, and a deficiency may result in cognitive symptoms such as confusion, memory problems, and difficulty concentrating