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L-carnitine should be utilized alongside diligent symptom tracking, aggressive radical rest, and strict pacing protocols to avoid pushing beyond your fragile energy envelope and triggering post-exertional malaise

doi:10.1038/s41598-021-00353-z

Note: It is strongly advised that individuals consult a healthcare professional prior to initiating any supplement, particularly if they have existing health conditions, are taking prescribed medications, or are pregnant.

PEGylation the covalent attachment of polyethylene glycol (PEG) chains via a succinyl linker surrounds the peptide with a steric hydrophilic shield that dramatically increases hydrodynamic radius, reduces renal filtration, and provides protection from proteolytic degradation