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4 Discussion The serum serotonin levels were low before L-carnitine, L-carnitine supplementation was associated with a robust increase in peripheral serotonin and reduction of fatigue, and there was a statistically significant correlation between serum serotonin and fatigue levels in both patient groups

Compounded medications are prepared by state-licensed pharmacies when a licensed prescriber determines a customized formulation, dosage, or strength is appropriate for an individual patient, or when a commercially available product is unavailable