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Studies indicate that despite its acetyl group structure designed to improve bioavailability, ALCAR metabolism still produces trimethylamine N-oxide (TMAO) as a metabolic byproduct, though this occurs at lower levels than with standard carnitine forms [5]

Carnitine status Renal filtration maintains plasma concentrations of free carnitine around 40 to 50 micromoles (mol)/L, while plasma concentrations of acetyl-L-carnitine (ALCAR

doi: 10.1016/j.cgh.2021.10.036 3 AsraniSKDevarbhaviHEatonJKamathPS

Low bone mineral density and vitamin D deficiency in patients with benign positional paroxysmal vertigo