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L-carnitine, as a key cofactor in fatty acid transport and energy metabolism, exerts multifaceted effects that may modulate these pathogenic processes

: Efficacy of l-carnitine administration on fatigue, nutritional status, oxidative stress, and related quality of life in 12 advanced cancer patients undergoing anticancer therapy Giulia Gramignano et al

Alternatively, there is evidence that astrocytes also have the ability to produce ketones 38,39,40 , both through the breakdown of fatty acids, as well as through the breakdown of ketogenic amino acids such as leucine 41,42

Sleep apnea, daytime somnolence, and idiopathic dizziness--a novel association

Children concomitantly taking pivampicillin and other pivalate-conjugated antibiotics may also have reduced blood carnitine concentration levels