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In another placebo-controlled trial conducted by the same group, similar improvements in sperm motility were observed in participants supplemented with 2g/day of L-carnitine and 1 g/day of acetyl-L-carnitine (ALCAR) for six months (112)

Furthermore, the regulation of Wnt signaling not only affects stem cell proliferation but also directs the differentiation of epithelial cells, maintaining the balance of various cell types, such as goblet cells and enteroendocrine cells, thereby preserving the integrity of the intestinal barrier [392]

Carnitine is also involved in the process of surfactant synthesis, which helps to regulate the tension of the alveoli and prevent their collapse

Available online: www.training.cochrane.org/handbook