Lets not get started on the conveniently removing or losing their PA diagnosis (yes, controversial, but I know it happens from firsthand experience) and the (I believe) cost-driven change to oral supplementation despite evidence to the contrary for those with PA
Derosa G, Cicero FGA, Gaddi A, Mugellini A, Ciccarelli L, Fogari R: The effect of L-carnitine on plasma lipoprotein(a) levels in hypercholesterolemic patients with type 2 diabetes mellitus
Primary Carnitine deficiency stops the body from using fats for energy, while secondary Carnitine deficiency occurs when there isn't enough Carnitine in the blood
Acetyl-L-Carnitine: Neural and Cognitive Support Acetyl -L-carnitine (ALCAR) crosses the blood-brain barrier, delivering its acetyl group for neural energy production, acetylcholine synthesis, and incorporation into neurotransmitters like glutamate and GABA
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The final, crucial step in the detoxification process is ensuring that mobilized heavy metals are actually expelled from the body and not simply reabsorbed in the digestive tract