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However, ALCAR has been shown to have an anti-apoptotic effect when incubated with several cell lines, 40 but there are other reports which have indicated that, conversely, 2 acyl-carnitines, palmitoylcarnitine (C16) 41 and 3-hydroxy-isovalerylcarnitine (C5OH), 42 have a pro-apoptotic effect on certain cell lines

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