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Sarkar S, Gough B, Raymick J, Beaudoin MA, Ali SF, Virmani A, Binienda ZK (2015) Histopathological and electrophysiological indices of rotenone-evoked dopaminergic toxicity: neuroprotective effects of acetyl-l-carnitine

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As changes in serum carnitine concentrations were positively correlated with changes in serum albumin levels, but not with changes in serum ammonia levels, this suggests that L-carnitine ameliorated chronic fatigue by attenuating oxidative stress

[51] Carnitine has been shown to actually feed some pathogenic bacteria in the gut, and it appears that through its effects on TMAO production, it can feed Fusobacterium