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Most importantly, it facilitates the transport of long-chain fatty acids into the mitochondria for use in ATP production

Nutr Hosp 43(3):428436

doi:10.1161/ATV.0000000000000147 Nurmohamed NS, Gaillard EL, Malkasian S, et al

Studies have shown that acetyl L-carnitine can increase muscle mass and energy during exercise, support fat reduction, and decrease both physical and mental fatigue

This increased lipophilicity facilitates its passage through the blood-brain barrier, a selectively permeable boundary that protects against unwanted substances but allows fat-soluble molecules to pass more efficiently

By aiding in fat metabolism, it provides the muscles with an additional energy source, potentially reducing fatigue