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Carnitine exists in two isomeric forms: L-carnitine and D-carnitine

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We found no evidence of a clear difference in the ICD (absolute improvement 4.00 meters, 95% CI 9.86 to 17.86

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NPN80089600 FeaturesAcetyl-L-Carnitine is the only form of L-carnitine with demonstrated ability to cross the blood-brain-barrier and enter the central nervous system Indicated for patients with impaired cognition, nerve damage, chronic fatigue and poor sperm motility 500mg of Acetyl-L-Carnitine (ALC) per capsule IngredientsAcetyl L-carnitine 500mg(N-acetyl l-carnitine HCL)Non-Medicinal IngredientsMicrocrystalline cellulose, silicon dioxide, dicalcium phosphate, vegetable-grade magnesium stearate