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The water weight deserves specific clarification: this is intramuscular water retention, not fat gain

(PubMed) Shinto L, Quinn J, Montine T, et al

Not too weak

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In addition to being a product of endogenous synthesis during l-carnitine generation, the present studies reveal that BB is a major product of gut microbiotadependent catabolism of orally ingested l-carnitine in humans, and is an intermediate in TMAO formation from l-carnitine

Moreover, its an unfortunate reality that many sickle cell disease patients are indigent because their condition incapacitates and impoverishes them