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Furthermore, Acetyl L Carnitine may interact with certain chemotherapy drugs, potentially affecting their efficacy

Moreover, it plays an immune negative regulatory role in chronic hepatitis B virus (HBA) infection by preventing the formation of germinal centers (GCs), reducing the antiviral activity of GC-related immune cells and enhancing the function of immunosuppressive cells [227]

While it might be beneficial in acute stress responses, chronic elevation of long-chain acylcarnitines is linked to conditions like insulin resistance, type 2 diabetes, and cardiovascular diseases

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The evidence indicates that acetylcarnitine may also play a beneficial role in the metabolism and functional recovery of aged hearts by increasing the acetylation of mitochondrial proteins [42]