Mary
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I have had this with supplements that work for a week or two and then stop. I keep thinking about something my Grandma used to say "Don't wear your coat indoors or you won't feel the benefit when you go out ".
I think it's something like that. So after a while if you wear your coat indoors you would need two coats when you go out. The body starts to accept a coat indoors as normal and adjusts. I think it's the same with supplements. After a while the body accepts the increased availability and adjusts so that you end up back where you were before. Except you have become dependent on an expensive supplement. Well that's how it's been for me.
I think that's been true for a couple of things for me, that my body adjusts and they no longer seem to make a difference. I like the analogy too about wearing a coat indoors - smart Grandma!
However, there are a couple of things that helped me initially and do keep on helping me, I get worse without them: d-ribose (unfortunately expensive but I do much better with it, have been taking it for 10 years), methylfolate, MB12, B1 and P-5-P (B6). Although none of these make me feel as good as the l-carnitine and NADH did 13 or 14 years ago ......