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More research is required in humans although there is some evidence supporting the use of acetyl-L-carnitine to treat mild cognitive impairment and mild Alzheimers disease

and R.J.S

[16] The principal AOD9604 studies cited here did not establish a complete AOD9604-to-UCP1 pathway or demonstrate direct induction of UCP1 transcription, UCP1 activity, white-adipose browning, or functional thermogenesis

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Guan YZ, et al

But, absent human trials, its next to impossible to know what it does in the body