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Clin Ther 1991

Nevertheless, the pooled analysis of 16 trials suggested improvements in the summary measure of patients' global functioning (assessed with the Clinical Global Impressions [CGI-I] scale) after 12 and 24 weeks of (but not after 52 weeks) of ALCAR treatment (1-3 g/day) and in cognitive performance (assessed with the Mini-Mental State Examination [MMSE] scale) after 24 weeks (but not at 12 or 52 weeks) (104)

Even strict vegetarians (vegans) show no signs of carnitine deficiency, despite the fact that most dietary carnitine is derived from animal sources (9)

Quantitative assessment of carnitine loss during hemodialysis and hemofiltration

34: 131420 Rodrguez-Segade S, de la Pea CA, Paz M, et al

It's known as a prodrug of cysteine, meaning that it converts to cysteine in the body