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Poor sleep elevates cortisol, a stress hormone that is catabolic and can break down muscle tissue
J Inherit Metab Dis 34:677694 Wolff JA, Carroll JE, Le Phuc T, Prodanos C, Haas R, Nyhan WL (1986) Carnitine reduces fasting ketogenesis in patients with disorders of propionate metabolism
This amount helps maintain glutathione in its active, "reduced" state and prevents it from being depleted too quickly by oxidative stress
This was done to account for the fact that some patients did not repeat the acyl-carnitine panel even though it was abnormal
others do well with periodic use
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