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Here's a look at what may be going on: Mitochondrial damagein part due to a lack of NADhas been shown to increase neuroinflammation

Department of Defense

Methuselah Foundation

Adrian S, Scherzinger A, Sanyal A, Lake JE, Falutz J, Dub MP, Stanley T, Grinspoon S, Mamputu JC, Marsolais C, Brown TT, Erlandson KM

Regardless of the etiology, plasma concentrations of free carnitine 20 mol/L and increased acylcarnitine/free carnitine ratios (0.4) are considered abnormal (6)