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Moreover, within the body, carnitine can be metabolized into -butyrobetaine and crotonobetaine through the enzymatic action of L-carnitine dehydrogenase (Meadows and Wargo, 2015) and -butyrobetaine CoA transferase (Koeth et al., 2014), while choline can be oxidized into betaine by choline dehydrogenase and betaine aldehyde dehydrogenase

This is critical for generating energy in high-demand cells found in the nerves, heart, and muscles, ensuring they have the fuel needed for optimal function

Disposition and metabolite kinetics of oral l-carnitine in humans

Nitric oxide is a powerful neurotransmitter that helps blood vessels relax and also improves circulation