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A few things are clear

(2006): Carbohydrate ingestion augments L-carnitine retention in humans

Biol Psychiatry 67:505512 Shriver LP, Manchester M (2011) Inhibition of fatty acid metabolism ameliorates disease activity in an animal model of multiple sclerosis

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Dementia and depression have been associated with this deficiency as well, possibly from the under-production of methionine because of the inability to convert homocysteine into this product