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(PubMed) Clark WM, Williams BJ, Selzer KA, Zweifler RM, Sabounjian LA, Gammans RE

ACh is a significant neurotransmitter typically involved in brain activity, and its decreased amount has been connected with neurological dysfunction

20th ed

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The fumarate component may also contribute to cellular energy pathways (via the Krebs cycle), making this form particularly attractive in formulations targeting endurance, recovery, and metabolic efficiency
