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Disruptions in the NVU, leading to BBB dysfunction and reduced CBF, are early events in various neurodegenerative diseases, including AD, PD, and ALS [85]

L-carnitine also helps move certain metabolic byproducts out of mitochondria, which supports normal cellular energy balance

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mitofusins (MFN1 and MFN2), which mediate outer-membrane fusion

Anecdotal reports suggest tolerance over extended periods, but unknown risks remain

Request Peer-to-Peer Review Your doctor can request a peer-to-peer review (a phone call between your doctor and CVS Caremark's medical director) to discuss why you need this medication