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While it is found in foods such as red meat, dairy products, avocados, and some fish, dietary intake is often not sufficient to meet higher metabolic demands, especially for athletes or individuals following vegetarian or vegan diets

[158] found increased activity of choline acetyltransferase and expression of nerve growth factor (NGF) receptor in the striatum, and increased NGF protein levels in the hippocampus of rat pups after intracerebroventricular injection of ALCAR every other day from 021 days of age

10.1017/s1751731116002251 46 FergusonL

blood pressure and metabolic effects of acetyl-l-carnitine in type 2 diabetes: DIABASI randomized controlled trial