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They can arise spontaneously but may also be triggered by something as minor as the touch of clothing or cool air against the skin

doi:10.1042/bj1361083

Additionally, it has anti-aging antioxidant effects

However, the delayed improvement observed in studies where oral L-carnitine was administered later in the recovery phase suggests that perioperative protocols might benefit from emphasising early intravenous administration for more immediate haemodynamic support, particularly in high-risk individuals with a baseline reduced LVEF, such as those with heart failure, dilated cardiomyopathy, or a history of myocardial infarction