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The impairing effects of NEFAs on glucose-stimulated insulin secretion (GSIS) and insulin sensitivity have been demonstrated in diabetic patients, especially in obese individuals with a predisposition for T2DM (Leung et al., 2004)

Mechanistic studies reveal that acetyl-L-carnitine enhances cholinergic neurotransmission by increasing acetylcholine synthesis and release, upregulates nerve growth factor (NGF) expression, improves mitochondrial membrane potential and respiratory function in neurons, reduces oxidative damage to neural lipids and proteins, and modulates synaptic plasticity and neurotransmitter receptor function

This prolonged retention of food in the stomach may contribute to sulphur-smelling burps in some people