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Also, acetyl-l-carnitine exerts its antioxidant action through the alteration of the expression and oxidative status of a number of proteins involved in mitochondrial function and brain plasticity [23]

The Eubacterium limosum has proved to be very effective in converting TMAO precursors by demethylation of L-carnitine and reducing the amount of TMAO produced in the gut [101]

L-carnitine, as a key cofactor in fatty acid transport and energy metabolism, exerts multifaceted effects that may modulate these pathogenic processes

doi: 10.1038/s41374-022-00732-8 84

In addition to protecting the organs from free radical damage, another use is helping control side effects associated with taking doses of certain medications/drugs, especially acetaminophen