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Acetyl L-Carnitine is a naturally occurring amino acid derivative involved in the normal transport of fatty acids within cells, where they are utilized as a source of energy

The fetus accumulates substantial amounts of L-carnitine, primarily during the third trimester, through transplacental transfer from the mother, storing it predominantly in muscle tissue

TMAVA also inhibits carnitine metabolism by simultaneously inhibiting carnitine synthesis and uptake in cardiac tissue, accelerating the development of cardiac hypertrophy [251]