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Scientists observed its ability to shield the brain and improve cognition by [56, 57, 29, 58, 59, 60]: Maximizing energy (ATP) production Boosting mitochondrial health Increasing acetylcholine Scavenging free radicals Preventing brain aging caused by lactate buildup in the brain Based on these effects, acetyl-l-carnitine might also have nootropic effects (improve cognition) regardless of age, though studies havent researched this yet [61, 62]

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3 Insulin resistance in type 1 diabetes Insulin resistance is associated with micro- and macrovascular complications in patients with T1D ( Supplementary Figure 1 )

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