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Neuroscience 370:207217 Pillich RT, Scarsella G, Risuleo G (2005) Reduction of apoptosis through the mitochondrial pathway by the administration of acetyl-l-carnitine to mouse fibroblasts in culture

In time, progression from NAFLD to fibrosis (scarring) and cirrhosis (scarring of the liver) can result in hepatorenal syndrome, a complication marked by severe kidney malfunction with reduced kidney blood flow and abdominal edema (ascites)

People with lower baseline stores might see larger gains

But it can cause deep emotional wounds that are slow to heal

43:794-796 House, 2002 Poult

While ALC may influence microbial diversity, its exact impact on TMAO levels is less well studied than LC [8, 28]