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In general, acetylcarnitine can also act as an antioxidant to reduce high levels of ROS in the mitochondria

acidity regulator: citric acid

Carnitines primary metabolic role is transporting long-chain fatty acids into the mitochondria for beta-oxidation

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Although ALCAR is not a first-line treatment for severe depression, it should be kept in mind for patients with dysthymia, possible cerebrovascular insufficiency, fibromyalgia, or an inability to tolerate prescription antidepressant medications