dr michael murray neuropathy acetyl l carnitine Multimorbidity and frailty in older adults – Davide Liborio Vetrano research group KASL clinical practice guidelines for
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doi: 10.1002/ana.410090206
Here are some initial things Id look at and recommend

Regeneration of Carnitine: Once inside the mitochondrial matrix, acyl-carnitine is converted back to acyl-CoA and free carnitine by CPT II

Patience and commitment are essential
