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Shaking creates foam and can denature the peptide
L-carnitine participates in the long-chain oxidation of fatty acids in the brain, stimulates acetylcholine synthesis (donor of the acyl groups), stimulates expression of growth-associated protein-43, prevents cell apoptosis and neuron damage and stimulates neurotransmission

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Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:606-616.
Baseline characteristics were balanced in the two treatment groups
