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Other reports suggest success rates are lower and slower than with oral treatment (67% versus 82% euthyroid at four weeks) 11

Int J Clin Pharmacol Res 18(1):1319 Russell IJ, Kamin M, Bennett RM, Schnitzer TJ, Green JA, Katz WA (2000) Efficacy of tramadol in treatment of pain in fibromyalgia

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TMA is produced in the intestines not only from L-carnitine but also from betaine, buterobetaine (GBB), choline, and other compounds containing choline, which are present in the typical diet (red meat, eggs, poultry, fish, and dairy products)

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