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These contradictory findings seem to be due to the complex nature of radiation injury

An endogenous uncoupling and swelling agent in liver mitochondria and its enzymic formation

10.1196/annals.1320.003 Ann N Y Acad Sci

Plasma levels decline significantly: approximately 200 ng/ml at age 20, dropping to roughly 80 ng/ml by age 60

Additionally, research has shown that Acetyl L-Carnitine might have neuroprotective benefits, which means it could safeguard the health of the nerve cells improving cognitive function, mental fatigue and possibly alleviating some pain and depressive symptoms often related to CFS