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Acetyl-L-carnitine was successfully applied as pharmacological agents for treatment of chronic degenerative diseases of the senile brain and for slowing down the progression of mental deterioration in Alzheimer's disease, and they may involve both the cholinergic neuronal transmission activity of acetyl-L-carnitine and its ability to enhance neuronal metabolism in mitochondria. Jacobs, PL, et al, Glycine propionyl-L-carnitine produces enhanced anaerobic work capacity with reduced lactate accumulation in resistance trained males. in Journal of the International Society of Sports Nutrition , Volume 6, Issue 9, April 2009

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doi: 10.1016/j.immuni.2022.07.008 6 HadadiEet al