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Abstract Purpose of review Carnitine is an essential micronutrient that transfer long-chain fatty acids from the cytoplasm into the mitochondrial matrix for the -oxidation

Pancreatic beta cells synthesize neuropeptide Y and can rapidly release peptide co-transmitters

Individuals who have undergone gastric surgery (including bariatric procedures) or ileal resection have permanently reduced absorption capacity

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These changes suggest that treatment with ALCAR may be beneficial in supporting metabolism in the injured brain and further studies with larger sample size and longer ALCAR administration are needed