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It does several things at once, and the relative importance of each effect to any given clinical outcome is not yet pinned down
Palacin, M., et al., Molecular biology of mammalian plasma membrane amino acid transporters
NPC Hello+2Wada-Ama+2 Angiogenesis & endothelial support via VEGFR2/Akt/eNOS pathways
In patients with chronic kidney disease, reduced reabsorption of carnitine can affect the availability of carnitine in muscles, leading to skeletal muscle atrophy and decreased exercise endurance [262]
Liao and colleagues (2018) showed it's significantly more stable than ascorbic acid while still being effective
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