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This case suggests that secondary carnitine deficiency may cause chronic migraine

Acetyl-L-Carnitine enhances neurotransmitter regulation, which can support optimal nerve function.*

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The parallel: GLP-1 proved in diabetes expanded to obesity then everything Orexin is proving in narcolepsy expanding to ADHD, chronic fatigue, AD The players: Alkermes alixorexton (Phase 3, T2 narcolepsy) Takeda danavorexton (Phase 3, T1 narcolepsy) Eisai E2027 (Phase 2) Lilly Centessa others undisclosed programs Why this matters: Orexin regulates reward, attention, motivation, and energy metabolism