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When food sits in the stomach for an extended period, it causes distension

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49 A deficit in the tricarboxylic acid cycle and ETC function under conditions of excessive superoxide production in the brain would be expected to result in a reduced ability to maintain adequate levels of ATP required for normal neuronal and synaptic functioning

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[24] Technical Solution [25] In accordance with an aspect of the present invention, the above and other objects can be accomplished by the provision of a process for preparing L-carnitine or acetyl L-carnitine hydrochloride, comprising preparing racemic 4-chloro-3-hydroxybutyronitrile of Formula 2 from racemic epichlorohydrin of Formula 1 in an aqueous hydrogen cyanide solution having a pH of 8 to 10