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Maltais M, Lorrain D, Leveille P, et al

The acetyl group distinguishes ALCAR from standard L-carnitine in two critical ways: it allows ALCAR to cross the blood-brain barrier efficiently, and it provides an acetyl group that can be donated to choline to form acetylcholine, the primary neurotransmitter of the cholinergic system

This ingredient is used in many nootropic supplements for better cognitive performance

On the outer mitochondrial membrane, CPTI (carnitine-palmitoyl transferase I) catalyzes the transfer of medium/long-chain fatty acids esterified to coenzyme A (CoA) to L-carnitine

Clinical symptoms of hyperammonemic encephalopathy often include acute alterations in level of consciousness and/or cognitive function with lethargy or vomiting