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Jajin MG, Abooshahab R, Hooshmand K, Moradi A, Siadat SD, Mirzazadeh R, et al

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The TGA has said some evidence suggests there is a lack of awareness that B6 can cause damage to the nerves outside the brain and spinal cord

Studies indicate that despite its acetyl group structure designed to improve bioavailability, ALCAR metabolism still produces trimethylamine N-oxide (TMAO) as a metabolic byproduct, though this occurs at lower levels than with standard carnitine forms [5]