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To address this limitation, we thoroughly checked the reference lists of included articles

Authors contributions Study concept and design (AB), acquisition of data (RP, AK), analysis and interpretation of data (DS, NS), drafting of the manuscript (RP, AK), critical revision of the manuscript for important intellectual content (DS, NS), study supervision, administrative, technical, and material support (VA)

Carnitine : May improve fat metabolism, energy levels, and muscle building while reducing recovery times

To understand the complexities of chronic Lyme disease, we must first look at the origins of the infection itself