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Like L-Carnitine, ALCAR is formed naturally in the body, but through the enzymatic addition of an acetyl group to L-Carnitine it is readily converted to ALCAR, and back, depending on the metabolic needs of the cell

Additionally, studies were excluded if they reported no patient centered outcomes (except parameters that provide information about the analyzed outcome, e.g., PSA, which was considered as surrogate parameter for tumor progression of prostate cancer)

doi: 10.1186/s12929-023-00957-9 124