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The human body uses acetyl l-carnitine to breakdown fatty acid to create energy by transporting fatty acids across the mitochondria membrane

Research has shown its potential in regulating cellular energy expenditure and metabolic pathways

doi:10.1002/14651858.CD010287.pub3 Tsiami AP, Goulis DG, Sotiriadis AI, Kolibianakis EM

Verification with serum methylmalonic acid and/or serum homocysteine level may be necessary in asymptomatic patients with high-risk conditions, symptomatic patients with low-normal levels of vitamin B 12 (200 to 350 pg per mL), or symptomatic patients in whom vitamin B 12 deficiency is unlikely but must be excluded

Kikuchi M, Nakazawa T, Kinoshita M, Yamamori H, Yasuda Y, Fujimoto M, et al