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Li BU, Murray RD, Heitlinger LA, et al

Acetyl-L-carnitine (levacecarnine) in the treatment of diabetic neuropathy: a long-term, randomised, double-blind, placebo-controlled study

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Increased L-carnitine reversed the oxidative stress.[ref] Psychosocial stress would include things like stress from relationships, work, and finances

It is then stored in the heart, brain, skeletal muscles and in sperm