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While a healthy body can neutralize normal amounts of ROS using endogenous antioxidants, the sheer volume of free radicals produced by damaged mitochondria in Long COVID and ME/CFS overwhelms the system

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More muscle mass means more calories burned daily, even at rest

A double-blind, placebo-controlled trial in 90 HIV-positive patients with symptomatic distal symmetrical polyneuropathy found no benefit of intramuscular injection with 1 g/day of ALCAR for two weeks in the intention-to-treat analysis, but there was some pain relief in the group of 66 patients who completed the trial (84)

doi:10.1016/j.critrevonc.2015.11.014