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doi:10.1016/j.autrev.2011.01.009

As a core metabolic product, lactate may promote the release of inflammatory mediators (e.g., IL-6, TNF-) by activating the TGF- signaling pathway, while enhancing NF-B pathway activity to exacerbate local inflammatory infiltration in lung tissue but this direct activation has not been demonstrated in COPD airway cells

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The product puts the same amount you get in most carnitines in liquid format at 3,000mg, broken down into 1.5g of acetyl-l-carnitine and 1.5g of regular carnitine