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soluble in ethanol pKa Carboxyl 3.8, ammonium 8.2 Stereochemistry Naturally produced L-enantiomer (D-isomer is pharmaceutically inactive) The quaternary ammonium allows binding to carnitine-acylcarnitine translocase for mitochondrial -oxidation and ATP synthesis

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(PubMed) Kalim S, Clish CB, Wenger J, et al

Preventing and Managing Metabolic Crises A metabolic crisis happens when the body runs out of energy, leading to low blood sugar ( hypoglycemia ) and the buildup of toxins like ammonia [1] [12]