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Indeed, the total plasma concentration (free carnitine + acylcarnitine) is only 4585 mol/l

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Its still an open question as to whether the benefits that were seeing are from the drug directly getting into the brain and affecting neurons and increasing their survival or if its just healthier metabolism overall, and that is benefiting the brain in some indirect way. This intervention was for two years, and at the end of two years, they saw that the people in this intervention group had a 20 percent less cognitive decline than the controls

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