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Drug interactions Cyclosporin A induced nephrotoxicity has been discussed above

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Additionally, LC regulates pyruvate dehydrogenase activity through its reaction with acetyl-CoA, as well as proteolysis and protein synthesis necessary for maintaining the protein balance in skeletal muscle

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Alternatively, if the functional deficit in CFS patients leads to recruitment of abnormal ATP production pathways (63), carnitine supplementation might restore the use of normal reaction pathways, thus promoting metabolic flexibility

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