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This is because a related chemical, L-carnitine, seems to interfere with thyroid hormone

Physiological functions of carnitine and carnitine transporters in the central nervous system 4, 6

Nrf2 expression modifies influenza A entry and replication in nasal epithelial cells

doi:10.1016/S0885-3924(00)00266-9

Results Acetyl-L-carnitine was significantly more effective than tamoxifen in reducing pain and in inhibiting disease progression

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