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Intravenous rather than oral supplementation is recommended because it is likely to ensure higher levels of carnitine in the blood (L-carnitine has poor gastrointestinal bioavailability, which is further compromised by digestive dysfunction)

Radiotherapy inhibits tumor growth by generally inducing tumor cell apoptosis, necrosis, mitotic catastrophe, autophagy, or senescence through inflicting extensive DNA damage, including DNA-protein crosslinking, or transiently increasing the levels of cytotoxic reactive oxygen species (ROS) ( Irradiation-Induced GH Deficiency Subtle and frank neuroendocrine abnormalities occur following radiation damage to the hypothalamic-pituitary axis

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Diet, methylation, and carnitine levels Diet is the largest everyday lever