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A derivative of L-carnitine, ALCAR easily crosses the blood brain barrier where it increases brain carnitine levels and helps increase acetylcholine, an important neurotransmitter vital to learning, memory, and general cognition (severe depletion of acetylcholine is associated with Alzheimers disease)

The degree of gastric slowing correlates with early nausea, the most common side effect reported in SURPASS-1 through SURPASS-5 at nausea rates of 12 to 18% depending on dose [14]

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