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Notably, at physiological concentrations, TMAO can enhance the integrity of the bloodbrain barrier through the tight junction regulator annexin A1, limit the reactivity of astrocytes and microglia, and protect the cognitive function of mice from inflammatory challenges

F., and Evans, E

The study also demonstrated that L-carnitine acts directly on hair follicle keratinocytes by promoting their proliferation and inhibiting their apoptosis, that is, their programmed cell death

It is primarily used as a catalyst to turn fat into energy, which is likely why its commonly marketed as a fat burner

Natural Medicine Comprehensive Database: L-carnitine Hershman DL, Unger JM, Crew KD, Till C, Greenlee H, Minasian LM, et al