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Moreover, an estrogen hormonal regulation has been reported

Carnitine is also involved in the process of surfactant synthesis, which helps to regulate the tension of the alveoli and prevent their collapse

Zhuang et al

B Vitamins: B vitamins, particularly B6, B12, and folic acid, are essential cofactors in energy metabolism and can synergize with L-carnitine to optimize energy production and utilization

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