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Study links depression to low blood levels of acetyl-L-carnitine By Bruce Goldman People with depression have low blood levels of a substance called acetyl-L-carnitine, according to a Stanford University School of Medicine scientist and her collaborators in a multicenter study

Mixing L-Carnitine into your pre-workout shake can be a convenient way to include it

Secondary Carnitine deficiency Secondary deficiency is characterized by increased carnitine excretion in urine in the form of acyl-carnitine due to an accumulation of organic acids [36,37]
