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QUALITY INGREDIENTS BACKED BY SCIENCE L-Carnitine This amino acid derivative plays a role in energy metabolism, supporting the transport of fatty acids into cells to be used as energy

Wang Q, Li W, Zhang Y, Yuan X, Xu K, Yu J, Chen Z, Beroukhim R, Wang H, Lupien M, Wu T, Regan MM, Meyer CA, Carroll JS, Manrai AK, Janne OA, Balk SP, Mehra R, Han B, Chinnaiyan AM, Rubin MA, True L, Fiorentino M, Fiore C, Loda M, Kantoff PW, Liu XS, Brown M

Lastly, red blood cells can be affected, but this is very uncommon

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Energy metabolism in patients: dynamics of energy metabolism in cirrhosis patients

And concluded ALCAR was as effective as antidepressants in reducing depression