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Normally, BCAAs (e.g., valine, leucine and isoleucine) can be converted to their corresponding branched-chain keto acids that in turn can be converted to branched-chain CoA, which can also bind carnitine to form branched-chain acylcarnitines (BCACs), such as propionylcarnitine (C3-carnitine), succinylcarnitine (C4DC-carnitine) and isovalerylcarnitine (isoC5-carnitine), which are involved in the energy production process of cells [10]

Look for third-party lab testing (HPLC/MS verification), certificates of analysis showing 98%+ purity, proper sterile manufacturing protocols, detailed reconstitution instructions, and appropriate storage requirements

Supplementary Information Additional file 1 (download DOCX : Summary of the SURPASS 15 study designs

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& Zinsmeister, A