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By transporting long-chain fatty acids into the mitochondria, carnitine prevents the accumulation of lipids in skeletal muscle, heart muscle and liver

Eating smaller meals more frequently, avoiding high-fat foods, and staying hydrated all help

Samples may be taken of blood or stool to check for bacteria that would indicate an infection

Here, they undergo incomplete, alternative oxidation pathways that generate massive amounts of free radicals and reactive oxygen species (ROS), further damaging the delicate mitochondrial membranes and the very enzymes required for energy production

Always work with your GP or endocrinologist