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While pure L-carnitine primarily targets the energy demands of the heart and skeletal muscles, other forms, such as Acetyl-L-carnitine (ALCAR), are specifically structured to cross the blood-brain barrier, providing targeted support for neurological function and cognitive stamina

Although they share similar characteristics, they work slightly differently and may offer specific benefits depending on individual needs

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In a recent clinical trial, pre-dialysis serum carnitine levels decreased by 22% during the first year of haemodialysis in the placebo arm and carnitine deficiency developed in 30% of patients [16]

Methods: Here, we describe an innovative approach for the treatment of this disorder, where the use of postbiotics/tyndallized probiotics is able to effectively inhibit the bacterial TMA lyase present, thus preventing the formation of TMA

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