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By binding to these metabolic waste products and exporting them out of the mitochondria, ALCAR frees up Coenzyme A, ensuring that the Krebs cycle can continue churning out the ATP required for everything from muscle contraction to complex cognitive processing

Beamer, L.J., Carroll, S.F

Caution or dose reduction should be implemented in people with renal impairment

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* Correspondence: Xun Wu, [email protected] These authors have contributed equally to this work ORCID: Tanwei Fang, orcid.org/0009-0006-0404-7553 Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers

[128] stated that acetyl-L-carnitine at a dose of 2050 mg/kg/day (for 12 months) decreased irritability and improved the social behavior of young boys with breakable X chromosomes, where ASD symptoms occurred in more than 60% cases