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L-carnitine accomplishes this by binding to acyl residues produced not only from fatty acids but also from amino acid metabolism, forming water-soluble acylcarnitines that facilitate their excretion from cells and ultimately the body (Figure 1) ( 2.4 Stabilization of cell membranes L-carnitine is also essential in maintaining membrane stability and the function of plasma, mitochondria, and other organelles, probably through its effects on the acetylation of membrane phospholipids

10.1080/00207454.2018.1486837 79 KhanM

MRI and electrophysiological evidence of damage to the spinal cord and/or peripheral nerves

The label matters, but the label is only the start