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Lerman JB, et al

Carnitine and Acylcarnitines: Pharmacokinetic, Pharmacological and Clinical Aspects

doi:10.1056/NEJM198707093170203

Diabetes Care 2005;28:89-94
Activity of L-carnitine and L-acetylcarnitine on cholinoceptive neocortical neurons of the rat in vivo

Vegans and vegetarians may have lower baseline levels due to reduced dietary intake, though clinical deficiency in otherwise healthy individuals remains uncommon