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Toxicol Pathol 35:495516 Ferreira GC, McKenna MC (2017) l-Carnitine and acetyl-l-carnitine roles and neuroprotection in developing brain

Truncated sequences, deletion analogs, and racemized byproducts act as molecular saboteurs, competing for receptor binding sites, generating false signals in cell-based assays, and rendering months of research irreproducible

Ive seen consistent results with it, he says

If it does not change then other causes deserve evaluation

Since serotonin plays a key role in reducing anxiety and promoting relaxation, this disruption can lead to heightened anxiety and difficulty falling or staying asleep