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(21) The reduction in cardiovascular risk was even greater than that of a Mediterranean diet
A preliminary randomised controlled trial to compare the effects of duloxetine and acetyl-l-carnitine on pain, depression, anxiety, and well-being in patients with fibromyalgia suggested that acetyl-l-carnitine was efficacious in improving depressive symptoms, pain, and quality of life [91]
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However, cooking and processing can reduce these compounds, which may lead some individuals to consider supplementation as part of their routine
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