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(iii) the branched-chain -ketoacid dehydrogenase complex that is involved in the decarboxylation of ketoacids in the catabolic pathway of the branched-chain amino acids, namely leucine, isoleucine, and valine

The infusion protocol varies greatly depending on the administerer

Without these reactions operating efficiently, the cells ability to generate energy becomes less stable

L-carnitine was found to increase PGC1 expression and ameliorate mitochondrial damage (90)

FDA PCAC 2023 What this means practically for research dosage decisions: Doses above 1 mg/day are not supported by efficacy data and appear to produce diminishing returns