acetyl-l-carnitine as a precursor of acetylcholine L-carnitine promotes the synthesis acetylcholine. During hypoxia, Acetylcholine - Wikipedia

This step is the primary rate-limiting bottleneck of fatty acid oxidation

Extra caution is warranted if your dog has complex medical needs or is taking medications

[18] Damage to the cholinergic (acetylcholine-producing) system in the brain has been shown to be associated with the memory deficits associated with Alzheimer's disease

Injectable L-Carnitine Benefits Studies show that the rate of fat burn is proportional to the L-Carnitine intake, which means that L-Carnitine supplementation can contribute to an increased fatty acid metabolism and a boost of energy production

& Gordon, J.I

[DOI] [PubMed] [Google Scholar] 112.Carland J, Mansfield R, Ryan R, Vandenberg R