l acetyl carnitine higi ph degrade Acetyl-L-Carnitine: Benefits, Forms, Dosing, and Side Effects – Dr Brad Stanfield Low Bioavailability and High TMAO

Gut microbes can use carnitine and acylcarnitine as carbon sources, nitrogen sources, osmotic protectants or electron acceptors, but the gut microbiota cannot synthesize carnitine itself, and the mitochondrial function of acylcarnitine produced by carnitine palmitoyltransferase has not been observed in prokaryotes [230]

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Zhu, R., Chen, W., Gu, D., Wang, T., Li, J., & Pan, H

Laryngoscope 2002 Sep;112(9):1515-32

Its main job is to move fatty acids into the mitochondria, the powerhouses of cells, where they can be converted into energy [1]