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"Useful work" here means literally anything you ask your body to do including muscle protein synthesis , neuromuscular adaptations that increase strength , and general recovery from exercise

It is interesting to note that other post-acute infection syndromes (PAIS) and some neuropsychiatric diseases such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), depression (especially the atypical/immunometabolic subtype (IMD) [86]) and others also have fatigue as a leading clinical symptom, which may serve as a model for investigating the mechanisms of fatigue and drawing conclusions regarding therapeutic options in long COVID

The results revealed a median FeCarnitine of 0.36% and a median FeTMAO of 93.85% (Figure S1d), which suggested that the kidneys strongly conserve carnitine in and eliminate TMAO from the human body (Figure S1e)

How Carnitine Deficiencies Occur Our bodies usually maintain adequate levels of carnitine through three means: 1