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However, these effects are generally manageable and reversible under medical supervision

J Biol Chem 248:34263432 Marx W, Teleni L, Opie R, Kelly J, Marshall S, Itsiopoulos C, Isenring E (2017) Efficacy and effectiveness of carnitine supplementation for cancer-related fatigue: a systematic literature review and meta-analysis

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Apart from redox reactions, NAD + is also a donor of ADP-ribose through enzymes such as poly (ADP-ribose) polymerases (PARPs) involved in DNA repair 6