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3) confirms the presence of the composition and the 1:2 molar ratio of L-carnitine and propionate
"L-carnitine for chronic heart failure: meta-analysis." Biomed Res Int 2017;2017:6274854

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As such, other mechanisms might exist

Mitochondria from both hemispheres of male rat brain had more impairment of state 3 (Complex I dependent, ADP stimulated) respiration compared to mitochondria from female brain after HI, and the respiration was 30% lower in mitochondria from male brain after HI, than in sham rat pups [38]