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Zhang et al., 2022b
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These can usually be resolved by lowering the dose or dividing it into smaller, more frequent administrations

Increased urinary excretion of carnitine in patients treated with cisplatin
Apart from its role in energy metabolism, multiple studies have demonstrated over the last three decades that acetyl-l-carnitine possesses neurotrophic, neuroprotective, and neuromodulatory properties

There is another pathway by which L-carnitine assists the mitochondria to remain healthy