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Putative mechanisms by which vitamin D may be beneficial in FM include: 1

The acetyl group distinguishes ALCAR from standard L-carnitine in two critical ways: it allows ALCAR to cross the blood-brain barrier efficiently, and it provides an acetyl group that can be donated to choline to form acetylcholine, the primary neurotransmitter of the cholinergic system

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Although these mechanisms are part of normal healing, excessive or prolonged inflammation can cause serious complications (Jakob, 2001)

1 Sunvold GD, Tetrick MA, Davenport GM, Bouchard GF