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This can cause problems for people with gastroparesis (a condition where the stomach empties too slowly)

Biochem Biophys Res Commun 231:488493 Aureli T, Puccetti C, Di Cocco ME, Arduini A, Ricciolini R, Scalibastri M, Manetti C, Conti F (1999) Entry of [(1,2-13C2)acetyl]-l-carnitine in liver tricarboxylic acid cycle and lipogenesis: a study by 13 C NMR spectroscopy in conscious, freely moving rats

However, it may take several months to achieve optimal results

Silverii GA, Dicembrini I, Monami M, Mannucci E

Programmed Cell Death via Mitochondria: Different Modes of Dying

Some of them might have side effects, and researchers are still looking into how well they work in the long run