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This is controlled by a complex reflex involving central neural control centres located in the lateral reticular formation of the medulla which are stimulated by the chemoreceptor trigger zones (CTZs) in the floor of the fourth ventricle, and also by vagal afferents from the gut

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2014 Dec;11(6):705-1

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found that L-carnitine supplementation was associated with a significant reduction in all-cause mortality, ventricular arrhythmia, and angina in the setting of acute MI [7]