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Of these eighty-four metabolites, two acyl-carnitines and eleven lysophospholipids were present at lower concentrations, and twenty-three phospholipids and glycerophosphoric acid (the substrate of diglyceride) were present at higher concentrations in the MD/d-carnitine group than the MD/l-carnitine group

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Acetyl-L-carnitine (ALCAR) is a different form entirely: it crosses the blood-brain barrier and is used primarily for cognitive support, not fat oxidation

PMID: 41318751 6 A case of atypical systemic primary carnitine deficiency in Saudi Arabia

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These studies contribute to a broader understanding of how cellular metabolism is coordinated under controlled experimental conditions