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From a biochemical perspective, L-carnitine plays a key role in the transport of long-chain fatty acids into the mitochondria the powerhouse of the cell where they are oxidized to produce energy

Additionally, absorption issues due to gastrointestinal (GI) problems and food sensitivities may limit the availability of selenium from food sources

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doi: 10.1136/annrheumdis-2012-202352 133 LucchesiDBombardieriM