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What to know about fatty liver disease [Internet]

Its acetylated form provides unique neurological benefits beyond those of L-carnitine alone, making the combination of both forms synergistic for whole-body support.* Cellular Health and Glucose Metabolism By facilitating the proper metabolism of long-chain fatty acids, carnitine may help prevent their accumulation in cells, which can cause cellular damage

For example, a recent case report described rebounding ammonia levels that occured when L-Carnitine was stopped while the valproic acid level was still supratherapeutic

doi: 10.1016/j.clinbiochem.2010.02.005 98 ZouXJiangZLiLHuangZ

10.3390/cells11050844 37 ListenbergerL

So, when picking between them, it really comes down to your preferences and what your doc recommends