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Following 7 weeks of targeted oral L-carnitine supplementation, the trial patients demonstrated a robust, statistically significant increase in peripheral serotonin alongside a marked reduction in standardized physical fatigue scores

However, because it can cause irritation, particularly on the delicate skin of the lips, it must be used carefully and only with a prescription

14 Fish, shellfish, meat, eggs, and lentils also contain selenium, and a varied diet based on whole foods will naturally support healthy selenium intake without requiring much attention

However, this same mechanism makes passive eating nearly impossible for many patients, and high-protein foods often feel too filling to consume in adequate amounts

Other ingredients Hypromellose (vegetarian capsule), microcrystalline cellulose, magnesium silicate, silicon dioxide