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Name: acetyl l carnitine doping L-Carnitine and acetyl-L-carnitine roles and neuroprotection in developing brain Losing weight with L-carnitine supplements.
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10.1242/jeb.205.12.1703 86 GanY.HeJ.ZhuJ.XuZ.WangZ.YanJ.et al (2021)

This process, known as paracrine signaling, allows exosomes to interact with cells in various ways - activating receptors on cell surfaces, merging with target cell membranes to release their cargo, or influencing the surrounding environment