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Additional alternatives include CoQ10, alpha-lipoic acid, ribose, and B-complex vitamins

Gut microbes can use carnitine and acylcarnitine as carbon sources, nitrogen sources, osmotic protectants or electron acceptors, but the gut microbiota cannot synthesize carnitine itself, and the mitochondrial function of acylcarnitine produced by carnitine palmitoyltransferase has not been observed in prokaryotes [230]

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2002;283:C802C810

This data underscores the importance of the carefully balanced 4:1 ratio found in Carnitine Synergy, which provides a dominant dose of L-carnitine for physical support alongside a targeted, non-competing dose of ALCAR for cognitive clarity