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A 12-month study observed a reduction in heart failure among participants who received L-carnitine supplements

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[Link] Synthesis of [3H]acetylcholine from [3H]acetyl-L-carnitine was demonstrated in vitro by coupling the enzyme systems choline acetyltransferase and carnitine acetyltransferase. Chen, N, et al, L-carnitine for cognitive enhancement in people without cognitive impairment. in Cochrane Database of Systematic Reviews , Volume 26, Issue 3, March 2017