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When pH is neutral, L-carnitine exists in the form of lactone and has good stability

Finally, a four-year, multicenter, clinical trial in 421 diabetic patients with distal symmetric sensorimotor polyneuropathy found no difference between oral administration of 600 mg/day of lipoic and placebo on the primary endpoint, a composite score that assessed neuropathic impairment of the lower limbs and nerve conduction (78)

[DOI] [PubMed] [Google Scholar] 192.Saliba A., Debnath S., Tamayo I., Lee H.J., Ragi N., Das F., Montellano R., Tumova J., Maddox M., Trevino E., et al

Not only do vegetarian diets supply significantly less carnitine, but many vegetables tend to be low in lysine

Carnitine metabolism in hypertensive heart failure