I am not sure what size the gp was using
L-carnitine plays an important role in the translocation of acetyl moieties from the mitochondria to the cytoplasm for acetylcholine synthesis in neurones. Inazu, M and Matsumiya, T, [Physiological functions of carnitine and carnitine transporters in the central nervous system]. in Nihon Shinkew Seishen Yakurigaku Zasshi , Volume 28, Issue 3, June 2008, pp 113 - 120
M.AntonyS.DoroshowJ
Petrie JR, Chaturvedi N, Ford I et al (2017) Cardiovascular and metabolic effects of metformin in patients with type 1 diabetes (REMOVAL): a double-blind, randomised, placebo-controlled trial
Human clinical trials have demonstrated that PYC enhances domains of cognitive ability, and in vitro and in vivo animal and human studies have assessed its mechanisms of action, particularly its strong antioxidative properties as well as anti-inflammatory and vascular functions
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