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Furthermore, acetylcarnitine has been demonstrated to facilitate the release of neurotransmitters (e.g., norepinephrine, serotonin, dopamine, and gamma-aminobutyric acid)

DOI: 10.1016/j.neuint.2014.01.001.Role 23

Without coenzyme B12, tetrahydrofolate cannot be produced from 5-methyl tetrahydrofolate leading to folate deficiency