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Acetylcarnitine supplementation: pharmacodynamics, pharmacokinetics, and clinical efficacy in neuropsychiatric diseases Acetylcarnitine uptake from exogenous sources (e.g., food) The oral bioavailability of acetylcarnitine, similar to that of carnitine, is relatively low, with some studies reporting absorption rates as low as 510% of approximately 2000 mg, which is considered a saturating dose [107, 108]

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And the position of the Pernicious Anaemia Society has always been that PA is more than just B12 deficiency