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Patients should be encouraged to work with physical therapists or exercise professionals to develop appropriate programs, particularly if they are deconditioned or have mobility limitations

This creates a powerful, dual-action synergistic effect: the L-Carnitine component ensures a steady supply of acetyl-CoA by transporting fats into the mitochondria, while the fumarate component accelerates the Krebs cycle's ability to process that fuel into usable cellular energy

Persistent vomiting that leads to dehydration or electrolyte imbalances requires medical attention and may necessitate dose reduction or temporary discontinuation of the medication

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