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Description
It appears that certain pathways of carnitine metabolism, such as the acetylation of carnitine to acetyl-carnitine, are impaired, possibly as a result of the toxicity of antiretroviral medication

Overall these descriptions match those described by Chapel et al

10.3748/wjg.14.4296

Because it is not regulated, consumers need to be aware that there is no guarantee of product safety, effectiveness, or even purity
