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Serum acetyl-l-carnitine levels are decreased in antiretroviral toxic neuropathy, prompting the hypothesis that its delivery could be a targeted treatment [79, 80]

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It is a mechanistic, narrative review of existing lipid-signaling and microbiome literature, not a clinical trial, and it does not test any diet against a clinical outcome.What is the endocannabinoidome, and how is it different from the classic endocannabinoid system?The endocannabinoidome is a broader family of lipid signaling molecules, enzymes, and receptors that extends beyond the classic CB1 and CB2 receptor system THC and CBD act on, and it responds to diet and gut microbiota as well as to cannabis.Which dietary fats does the review focus on?The review highlights monounsaturated oleic acid, omega-6 linoleic acid, and omega-3 polyunsaturated fatty acids as active participants in endocannabinoidome signaling.How can fatty acids affect endocannabinoid signaling without being cannabinoids themselves?The review describes fatty acids acting as structural building blocks for endocannabinoidome lipid messengers, and also shaping mediator levels through substrate availability, enzymatic competition, and receptor feedback loops.What role does gut microbiota play in this review?The review describes a two-way relationship: gut microbiota help regulate endocannabinoidome signaling through lipid metabolism, inflammatory tone, and intestinal barrier integrity, while endocannabinoidome mediators in turn influence which microbes thrive.Does this review recommend a specific supplement, probiotic, or diet plan?No