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L-Carnitine is required for mitochondrial -oxidation of long-chain fatty acids for energy production (1)

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Am J Dis Child 1987;141:660-5

While both types of supplements can increase carnitine levels, acetyl-L-carnitine has a little better absorption and may cross the blood-brain barrier more effectively.[ref] Carnitine is also available as an injectable or IV, available at health spas or clinics

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