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The liver eliminates ammonia via the urea cycle
[Link] the esterified forms such as acetyl, propionyl, tartrate, and fumarate have been studied in their role of enhancing cognitive function, exercise recovery, and nitric oxide production Passeri, M, et al, Acetyl-L-carnitine in the treatment of mildly demented elderly patients. in International Journal of Clinical Pharmacology Research , Volume 10, Issue 1 and 2, 1990 pp 75 - 79
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