can acetyl l carnitine cause heart palpitations metabolism in hypertensive failure Muscle-Specific Deletion of Carnitine Acetyltransferase
Description
Notably, they observed that D-Carnitine, one of the isomers of L-Carnitine, could affect carnitines metabolism and exhibit toxicities

[Google Scholar] Lehninger AL, Nelson DL, Cox MM

Racemic D,L-carnitine can be produced chemically from cheap epichlorohydrin and trimethylamine ( Pseudomonas sp., Proteus sp., or Escherichia coli ( de novo biosynthesis from renewable feedstocks and to abandon the petrochemical synthesis of precursors

Wall BT, Stephens FB, Constantin-Teodosiu D, Marimuthu K, Macdonald IA, Greenhaff PL
