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Carnitine biosynthesis begins with the transport of trimethyllysine (TML) into mitochondria and proceeds through sequential intermediates, including hydroxytrimethyllysine (HTML) and -butyrobetaine (-BB), ultimately yielding l-carnitine

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When it binds there, it reduces neuroinflammation, supports nerve fiber regrowth, and turns down the inflammatory signals that keep nerve pain going long after the original cause has resolved

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