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Transport of ALCAR across cell membranes, including the blood-brain barrier, is primarily mediated by the organic cation/carnitine transporter 2 (OCTN2, encoded by SLC22A5), a sodium-dependent transporter expressed on the luminal side of endothelial cells [5]

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Nat Commun 14(1):3997

This synergistic effect, with MT-2 augmenting naltrexone's activity more than seven-fold, suggests a promising area of research in the context of alcohol-related disorders

Part of the carnitine can be produced endogenously, from lysine and methionine mainly by the liver and kidneys

If a platform is selling it to you, that is a red flag about the rest of their clinical practice