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Description
L-carnitine tartrate is a highly bioavailable form of L-carnitine, a vitamin-like compound crucial for transporting long-chain fatty acids into the mitochondria for energy production

This dehydrogenase reaction occurs in the cytoplasm and requires NAD+ as a cofactor, which is reduced to NADH in the process

A randomised controlled trial comparing duloxetine and acetyl L-carnitine in fibromyalgic patients: Preliminary data
This results in two main outcomes

Carnitine metabolism in the hypothalamus plays a role in the fine regulation of the endocrine feedback mechanism by interacting with metabolic hormones (e.g., ghrelin, leptin and insulin) [89]