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Curr Neuropharmacol 9:195199 Suchy J, Chan A, Shea TB (2009) Dietary supplementation with a combination of alpha-lipoic acid, acetyl-l-carnitine, glycerophosphocoline, docosahexaenoic acid, and phosphatidylserine reduces oxidative damage to murine brain and improves cognitive performance

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Patients with primary deficiency excrete (free) carnitine through the urine due to impaired renal absorption (Cederbaum et al., 2002, Spiekerkoetter et al., 2003)