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[PubMed] [Google Scholar] 105.Wiegand S., Eivazi B., Barth P.J., von Rautenfeld D.B., Folz B.J., Mandic R., Werner J.A

An easy way to put it, is that L-Carnitine helps transport fatty acids to be utilized as energy
They may affect growth hormone, glucose metabolism, pigmentation, immune signalling, fertility hormones or other systems

[DOI] [PMC free article] [PubMed] [Google Scholar] 278.Lehmann R, Zhao X, Weigert C, Simon P, Fehrenbach E, Fritsche J, et al
A large, randomized study has shown stabilized or improved depression/apathy when choline alphoscerate is administered with donepezil compared with donepezil alone in patients with Alzheimers disease (Rea et al., 2015