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In patients with ME/CFS, research has shown that the Krebs cycle is often impaired, with blockages occurring at specific enzymatic steps
Stabilization of Cell Membranes l-carnitine is also essential in maintaining membrane stability and function of plasma, mitochondria, and other organelles possibly via effects on acetylation of membrane phospholipids
Fonctions physiologiques de la L-Carnitine : Transport des acides gras vers les mitochondries pour les convertir en nergie

Including GBB alongside exogenous carnitine supports carnitine availability through two mechanisms simultaneously: direct supplementation and enhanced endogenous production