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-Butyrobetaine (-BB) -BB, formed by the oxidation of TMABA, is the immediate precursor to L-carnitine

Data availability All data needed to evaluate the conclusions in the paper are present in the Source Data file

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Carnitine may also support healthy glucose metabolism

A landmark 2024 study published in the Proceedings of the National Academy of Sciences (PNAS) revealed that severe oxidative stress is a shared, defining characteristic of both ME/CFS and Long COVID