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[14] As a second method, there is a biological method using microorganisms or enzymes

[DOI] [PMC free article] [PubMed] [Google Scholar] 90.Genazzani AD, Despini G, Czyzyk A, Podfigurna A, Simoncini T, Meczekalski B

Bitartrate Formation: L-Choline is then combined with tartaric acid to form L-Choline Bitartrate

(More information) L-Carnitine supplementation is indicated for the treatment of primary systemic carnitine deficiency, which is caused by mutations in the gene that codes for the carnitine transporter, OCTN2