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L-carnitine (LC) is a pharmaceutical formulation with multiple clinical applications, including: Correcting carnitine deficiency in patients with chronic fatigue syndrome Dialysis patients Enhancing exercise tolerance in patients with angina Correcting muscle weakness Growth retardation Motor skill impairment in children and premature infants Treatment of toxicity caused by anthracyclines and sodium valproate Acetyl-L-carnitine (ALC) Acetyl-L-carnitine (ALC) is the esterified form of LC, synthesized by the ALC transferase enzyme in the brain, liver, and kidneys