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[1] How L-Carnitine Works in the Body Here is the mechanism, stripped back

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Unlike nicotinamide adenine dinucleotide (NAD + ), nicotinamide adenine dinucleotide phosphate (NADP + ) has an additional phosphate on the 2 position of the ribose ring that attaches to an adenine moiety and has a lower intracellular concentration than NAD + (11) ( Figure 1A )