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L-Carnitine is an essential cofactor for several enzymes necessary for transport of free long chain fatty acids

The ischemic brain thus embodies a metabolic paradox: accelerated glycolysis provides immediate ATP but promotes long-term injury through acidosis and oxidative stress

10.1016/0014-2999(83)90327-8 Warter JM, Brandt C, Marescaux C, Rumbach L, Micheletti G, Chabrier G, Krieger J, Imler M: The renal origin of sodium valproate-induced hyperammonemia in fasting humans

This selective approach works well for daily use in brain health supplements designed for cognitive enhancement without the typical side effects associated with increased acetylcholine levels