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Acetyl L-Carnitine (ALCAR) is a form of L-Carnitine, a naturally occurring amino acid derivative that is often taken as a dietary supplement

No large-scale clinical trials in human pregnancy exist for either compound, so medical practice relies on precautionary principles and animal reproduction studies

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In addition, several molecules have been studied as an adjuvant therapy, including L-carnitine, CoQ 10 , vitamin E, vine tea polyphenol, cytoprotective agents (ursodeoxycholic acid), and insulin sensitizers (pioglitazone and metformin) (94)