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The intake does not use a validated PHQ-2 or PHQ-9 depression instrument (mental health is covered by the suicidal/homicidal and eating disorder gates), does not split personal vs family history into separate questions on MTC or MEN-2 (theyre combined in a single you or a family member prompt), and does not include a dedicated opioid or broader substance-use screen beyond alcohol dependence

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A separate study found that L-carnitine supplementation has been shown to significantly attenuate other muscle damage markers such as hypoxanthine, xanthine oxidase, malondialdehyde, CK, myoglobin, and perceived muscle soreness [12]