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In particular, creatine is an ergogenic aid (i.e., a temporal energy buffer) when supplementation is associated with high intensity exercise and the effect is more pronounced in untrained versus trained and in elderly versus young individuals [25], whereas similar changes in muscle performance have been found in males and females [14, 20]

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A fatal case of COQ7-associated primary coenzyme Q 10 deficiency

[DOI] [PubMed] [Google Scholar] 485.Zhou, J

The effect of L-carnitine has been further strengthened by the addition of vitamin B6 demonstrating the synergy of action of L-carnitine in the energy acquisition processes during intensified physical effort

Dietary therapy should focus on high carbohydrates and medium-chain triglycerides (which dont require the carnitine cycle) and a lower intake of long-chain fatty acids