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Helms, R.A., Whitington, P.F., Mauer, E.C., et al., Enhanced lipid utilization in infants receiving oral L-carnitine during long term parenteral nutrition, J

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References Garmon, E

By blocking this enzyme, the molecule preserves the cellular NAD+ pool, supports sirtuin activation, and stimulates energy expenditure through improved mitochondrial function

This, in turn, leads to hormonal imbalance and paves way for a disturbed menstrual cycle, which upon prolongation leads to oligomenorrhoea