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Am J Respir Cell Mol Biol

Although L-carnitine fulfils some of these requirements, acetyl-L-carnitine fulfills these requirements and also has the additional capability to provide an acetyl-CoA that can be oxidized for energy, used as a precursor for acetylcholine, or incorporated into glutamate, glutamine, GABA, and into lipids for myelination and cell growth

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Hussain B, Fang C, Chang J

Supports fatty acid transport into mitochondria for improved energy production during exercise

Leg Cramps High doses of L-carnitine (typically 1,500 mg/day) have been used for leg cramps due to carnitine deficiency