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Lighting, pose, and time of day also distort them

That's part of the story but acetyl-L-carnitine (ALCAR) is doing something standard L-carnitine can't

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Vitamin F Blend: Vitamin F is a blend of essential fatty acids that is not found naturally in the human body

But the payoff

In cardiovascular disease , studies have found these medications provide cardiovascular protection, with a 1420% reduction in major adverse cardiovascular events (MACE), a benefit understood to be at least partially mediated by anti-inflammatory pathways rather than glycemic control alone