Hi @rmca. I'm entering year 4. Your approach to managing with LC sounds like mine. I research all I can, often sharing findings and studies with various providers. I've found they don't have the time to research and this is a very fluid field. And traditional medicine doesn't inform treatment.

I've made some great improvement especially in my 3rd year, and am now focusing on rebuilding mitochondria. My LC clinic doc prescribes Mitocore by Orthomolecular Products. The important thing is to pair L Acetyl-Carnitine (LACAR) with Alpha Lipoic Acid (ALA). ALCAR alone can actually deplete mitochondria - it needs an antioxidant to counter balance the oxidation it created.

Dr. Bruce Ames has done extensive research in this area and found that a ratio of 500 ALCAR to 200 ALA is best. Mitocore fits this ratio as does Juvenon's Cellular Health product. I've used both, most recently Cellular Health.