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Yeah, definitely

Patients who are also optimizing hormonal status should be aware that sex hormones interact with MOTS-c signaling

Aging 2 , 11911206 (2022)

PubMed Central , Vigil, Pilar, et al

Mechanistic studies reveal that acetyl-L-carnitine enhances cholinergic neurotransmission by increasing acetylcholine synthesis and release, upregulates nerve growth factor (NGF) expression, improves mitochondrial membrane potential and respiratory function in neurons, reduces oxidative damage to neural lipids and proteins, and modulates synaptic plasticity and neurotransmitter receptor function

But mitochondria do much more than pump out energy
