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It works as follows: L-Carnitine / Levocarnitine is a naturally occurring amino acid derivative

"Effect of Orally Administered N-Acetylcysteine on Chronic Bronchitis: A Meta-analysis." Adv Ther

(2021) pilot RCT, older adults receiving GlyNAC for 16 weeks showed significant improvements in cognitive testing, including the Montreal Cognitive Assessment (MoCA) and Digit Symbol Substitution Test [10]

doi: 10.1016/j.mam.2008.08.006 8