DM, MAS, EAS, TA, and MH wrote and revised the manuscript
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Carnitine synthesis requires several co-factors including vitamins B3 (niacin), B6 (pyridoxal phosphate), C (ascorbic acid), iron and zinc
Reports also indicate that there has been a simultaneous increase in the financial burden of disease, including trillions spent on healthcare resources by governments worldwide (predominantly in developing countries) to address health concerns
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The gap between these figures reflects an important distinction