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An overview of the conflicting study results is given in the article Platlet-Rich Plasma For Tendinopathy and Osteoarthritis: A Narrative Review

Nature , 586 (7831), 790795

Recent studies have begun to explore these metabolic pathways as potential therapeutic targets

PLC is a form of supplemental carnitine that has been shown to stimulate NO production, boost muscle carnitine, and facilitate the transport of free fatty acids into the mitochondria, where they can be used as fuel.[59] Human studies suggest that PLC may improve various aspects of exercise capacity in individuals with peripheral arterial disease or chronic heart failure,[60],[61] pointing toward its cardiovascular benefits

Grapp M, Wrede A, Schweizer M, et al

While Vitamin B12 may help support energy and overall wellness, we also believe its important to look deeper at why symptoms may be happening in the first place