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Contrary to the widely held assumption that whole bacteria can cross the intestinal epithelium via the paracellular pathway, basic research strongly supports that endocytosis is the mechanism used for bacteria to translocate to the lamina propria (22)

However, the exact mechanisms by which L-carnitine ameliorates chronic fatigue requires further investigation

Dizziness or lightheadedness : Orthostatic symptoms combined with urinary changes may indicate volume depletion requiring fluid management adjustment

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