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The most impressive research on the combination of acetyl-l-carnitine and alpha lipoic acid, so far, seems to have been done in rodents, such as: Feeding acetyl-L-carnitine and lipoic acid to old rats significantly improves metabolic function while decreasing oxidative stress link Acetyl-l-carnitine fed to old rats partially restores mitochondrial function and ambulatory activity (ambulatory activity = movement such as walking or running) link Neuronal mitochondrial amelioration (restoration) by feeding acetyl-L-carnitine and lipoic acid to aged rats link Memory loss in old rats is associated with brain mitochondrial decay and RNA/DNA oxidation: Partial reversal by feeding acetyl-l-carnitine and/or R --lipoic acid link The effect of acetyl-L-carnitine and R--lipoic acid treatment in ApoE4 mouse as a model of human Alzheimers disease link In terms of human studies that combine the two, theyre more limited