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It may reduce the risk of type 2 diabetes

Carnitine/acetylcarnitine play active roles in histone acetylation [34]

In vitro, C16-carnitine has been found to activate specific subsets of neurons in the dorsal root ganglia (DRGs) of muscles that play a key role in sensing muscle fatigue or exertion and are involved in transmitting these sensory signals to the CNS, indicating that C16-carnitine acts as a signaling molecule for muscle afferent nerves [281]

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Stereospecific effects of acetylcarnitine on the spontaneous activity of brain-stem neurons and their responses to acetylcholine and serotonin Neuropharmacology 1985

Shores NJ, Keeffe EB: Is Oral L: -Acyl-Carnitine an Effective Therapy for Hepatic Encephalopathy
