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Description
International Journal of Medical Sciences 8(3):192-197, 2011

Test tube studies shows that ALCAR donates a acetyl group to help make acetylcholine.[iii] Alzheimers-diseased brains show a 25% to 40% reduction in carnitine acetyltransferase , an enzyme that works with L-Carnitine & Acetyl-L-Carnitine

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Second is the formation of unknown byproducts
