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J Lipid Res 2014;55:681-97.ArticlePubMedPMC 74

This happens because the stomach muscles dont work properly and efficiently

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Analyses revealed that treatment with carnitine led to improved erections in 40% of cases, with a partial response occurring in up to 77% of subjects enrolled, along with increased desire for physical intimacy

We also know from a 2007 study published in Nature Clinical Practice Urology that there may be a connection between autoimmune diseases and interstitial cystitis, and autoimmune diseases are closely connected to gut health and gut microbiome balance ( 8 )