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Enhancement of activities relative to fatty acid oxidation in the liver of rats depleted of L-carnitine by D-carnitine and a gamma- butyrobetaine hydroxylase inhibitor

They solve different formulation problems
Acetyl L-carnitine (ALCAR) is a specific form of carnitine

Cryo Lett (2016) 37(1):416

As described above, Y211 plays multiple roles in the substrate binding site, forming a large part of the pocket surface and also binding solvent
