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ALCAR can provide an acetyl moiety that can be oxidized for energy, used as a precursor for acetylcholine, or incorporated into glutamate, glutamine and GABA, or into lipids for myelination and cell growth

There seems to be an interplay within aberrant neurotransmission, chronic low-grade inflammation and host metabolic state that would explain characteristic mood fluctuations in this complex and incapacitating disorder

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An incision was made along the midline of the skull to expose the skin, and laser speckle contrast imaging (RWD Life Science Co., Ltd, China) was used to measure cerebral blood flow