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Description
Eckel RH, Alberti KG, Grundy SM, Zimmet PZ: The metabolic syndrome

A balanced diet and healthy lifestyle are recommended

L-Carnitine is involved in energy metabolism, it transports the long-chain fatty acids into mitochondria to be oxidized for energy production

Muscle strength was objectively quantified using the hand grip strength test, whereas fatigue severity and its impact on daily life were subjectively assessed via the Patient-Reported Outcomes Measurement Information System Fatigue Computer-Adaptive Test [188, 189]

Creatine has water retention properties which magnify even more during the loading phase

A Microorganism of Enterobacteriaceae Genus Haboring Genes Associated With L-Carnitine Biosynthesis and Method of Producing L-Carnitine Using the Microorganism
