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the review found that the pharmacology of ALCAR was poorly understood and that based on the lack of efficacy, ALCAR was unlikely to be an important treatment for AD

[DOI] [PMC free article] [PubMed] [Google Scholar] 53

Carnitine Deficiency Carnitine (-hydroxy--trimethylaminobutyric acid) is the indispensable carrier of medium- and long-chain fatty acids across the inner mitochondrial membrane into the mitochondrion, where they undergo -oxidation
587 Other meta-analyses have also reported green coffee extracts positive effects on lipid levels, glucose metabolism, and blood pressure

L-carnitine moves fatty acids into the cells to produce energy, so its believed that it can help with weight loss