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OCT6 mediates the secretion of carnitine from the epididymal epithelium into the lumen and to participate in sperm maturation [176]

Despite these limitations, the consistent signal of fatigue reduction makes ALCAR a cornerstone of metabolic support protocols for ME/CFS, often used alongside other amino acids as detailed in our guide, Can Free-Form Amino Acids Support Energy and Brain Fog in Long COVID and ME/CFS

But large randomized trials focused on preventing supplement related odor are still lacking

The significant improvement in CSSS in our series of studied DRE patients on KDT comes in agreement with several previous research