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L-carnitine is an amino acid that does not occur in proteins but plays a crucial role in the energy metabolism of cells. In the body, L-carnitine is mainly needed in the tissues that draw their energy primarily from fatty acids, for example in the heart and skeletal muscles. Unlike all other carnitines, acetyl L-carnitine can cross the blood-brain barrier and thus enter the brain. In the brain, it serves as a precursor for important neurotransmitters that transmit signals from the nerves to the muscles.

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