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The results were listed in Table 3

Quantification of total and free carnitine in human plasma by hydrophilic interaction liquid chromatography tandem mass spectrometry

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Scientific sources: White, HL and Scates, PW, Acetyl-L-carnitine as a precursor of acetylcholine. in Neurochemical Research , Volume 15, Issue 6, June 1990, pp 597 - 601

In most cases, yes

These effects impair oxygen and nutrient delivery to tissues, triggering hypoxia, metabolic acidosis, and organ failure (Higashi et al., 2014