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10.1016/j.biopsych.2013.04.025 26

These neurological studies are highly relevant for Long COVID and ME/CFS patients, as they confirm ALCAR's potent ability to cross the blood-brain barrier, reduce neuroinflammation, and restore the energetic capacity of the central nervous system, regardless of the initial trigger of the cognitive dysfunction

While fumarate plays a role in the citric acid cycle (or Krebs cycle) a key cellular energy production pathway its uncertain if this blend is more potent than taking L-carnitine alone