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Acetyl-L-carnitine is naturally present in the body in the brain, liver, and kidney

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[DOI] [PMC free article] [PubMed] [Google Scholar] 308.Chang JL, Gong J, Rizal S, Peterson AL, Chang J, Yao C, et al

Rate-limiting means that everything else can be in place for fatty acids to be oxidized, but if your blood levels of carnitine are too low, that process will not take place
