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This pivotal change not only makes the medication more accessible but also reflects an increasing recognition of the importance of comprehensive health management

PMID: 21726131

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It is in the chemical compound classes of -hydroxyacids and quaternary ammonium compounds, and because of the hydroxyl-substituent, it exists in two stereoisomers, the biologically active enantiomer L-carnitine, and the essentially biologically inactive D-carnitine.[bettersourceneeded] Both are available through chemical synthesis,[not verified in body] and the L-form is continuously biosynthesized in eukaryotic organisms from the proteinogenic amino acids lysine and methionine