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To date, there is no test that can reliably diagnose MDD, and tests such as the Hamilton Rating Scale for Depression (HAMD) and Beck Depression Inventory (BDI) based on subjective interviews with clinicians and patients have been performed for reference (4)

CoQ10 and L-Carnitine provide energy necessary for proper nerve cell function

Statements Author contributions SD and MT equally contributed to the writing of the manuscript

A higher level of carnitine increases energy production, but it also has the effect of accelerating muscle buffering by maintaining the pH of the muscle and minimizing the accumulation of hydrogen ions

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