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First, it was not possible to compare patients who received L-carnitine treatment with patients who did not

These circumstances include chronic stress, increased physical activity such as running a marathon or strenuous exercise, or poor absorption caused by a leaky gut, SIBO, or Candida overgrowth

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The most frequently used treatment relies on the combination of several immunosuppressants such as corticosteroids, leflunomide, and standard disease-modifying antirheumatic drugs (DMARDs) like methotrexate (MTX) 11 to address joint inflammation