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Because the S-epichlorohydrin is obtained from organic synthesis or biological conversion as well, detection of the optical rotation without accurate detection of its content of the optical isomer may bring some optical isomer impurity in each step of the preparation of L-carnitine

Neuropsychopharmacology, 34 , 15041513

doi:10.5888/pcd20.230197

Collectively, our data indicate that the lower exercise capacity in long COVID patients is associated with a greater proportion of high-fatigable glycolytic fibers and lower mitochondrial function, with a possible additional limitation of a lower capillarization and the ventilatory system