side effect of l carnitine Acetyl-L-Carnitine: Benefits and Effects L -Carnitine - its Benefits
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While the researchers adjusted for many risk factors, including age, sex, race/ethnicity, smoking, and physical activity, there is not explicit statement in regards to the individuals body fat percentage or body mass index (BMI) and its correlation to increased risk of ASCVD

doi:10.1016/j.bjps.2009.05.039 Pisano C, Pratesi G, Laccabue D, Zunino F, Lo Giudice P, Bellucci A, Pacifici L, Camerini B, Vesci L, Castorina M, Cicuzza S, Tredici G, Marmiroli P, Nicolini G, Galbiati S, Calvani M, Carminati P, Cavaletti G (2003) Paclitaxel and cisplatin-induced neurotoxicity: a protective role of acetyl-l-carnitine

Its main role is to mediate various metabolic pathways and mainly energy production in the mitochondria of cells
