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L-Carnitine also facilitates the metabolism of carbohydrates and enhances the rate of oxidative phosphorylation, the final stage of ATP (i.e., energy) production

2018: A double-blind, placebo-controlled study among women receiving taxane-based chemotherapy to treat breast cancer found that 3 grams of acetyl-L-carnitine taken daily for 5.5 months significantly WORSENED symptoms of chemotherapy-induced peripheral neuropathy compared to placebo, and this difference persisted after 2 years [7][28]

L-carnitine, also known as levocarnitine, is a naturally occurring amino acid structure that the body produces

The authors noted that results from more recent studies were less positive than those from earlier studies, and concluded that routine clinical use of ALCAR to treat dementia signs and symptoms was not justified [15]