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L-carnitine accomplishes this by binding to acyl residues produced not only from fatty acids but also from amino acid metabolism, forming water-soluble acylcarnitines that facilitate their excretion from cells and ultimately the body (Figure 1) ( 2.4 Stabilization of cell membranes L-carnitine is also essential in maintaining membrane stability and the function of plasma, mitochondria, and other organelles, probably through its effects on the acetylation of membrane phospholipids

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While the appointment may be simple, the decision should still be made thoughtfully, with realistic goals and proper supervision

Berberine should not be given to newborns or infants due to the risk of kernicterus