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When FAO or glycolytic flux is increased, carnitine maintains the balance of intracellular metabolism by buffering excess acetyl-CoA to prevent its accumulation to harmful levels [8]

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By targeting fat for energy, L-Carnitine supports a leaner physique and powers intense workouts without relying on muscle glycogen preserving glycogen stores for when they're specifically needed during high-intensity efforts, while fat handles the steady-state energy demand.

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4.3.1 Pseudobulbar Affect Pseudobulbar affect (PBA) represents unintentional or uncontrollable laughing and crying related to impaired corticobulbar function and is a common symptom in ALS