Lets look at what the research actually says
2020 International Society of Hypertension global hypertension practice guidelines

Water, Dipropylene Glycol, Methyl Gluceth-20, Glycerin, Ethylhexyl Palmitate, 1,2-Hexanediol, Niacinamide, Hydrolyzed Sponge, Polyacrylate-13, Acrylates/C10-30 Alkyl Acrylate Crosspolymer, Tromethamine, Hydrogenated Polyisobutene, Glutathione(1,004ppm), Epilobium Angustifolium Flower/Leaf/Stem Extract, Polyglyceryl-10 Laurate, Adenosine, Sorbitan Isostearate, Disodium EDTA, Boron Nitride, Xanthan Gum, Panthenol, Butylene Glycol, Citric Acid, Propanediol, Cyanocobalamin, Centella Asiatica Extract, Benzyl Glycol, Hydrolyzed Glycosaminoglycans, Sodium Hyaluronate, Madecassoside, Asiaticoside, Sodium Hyaluronate Crosspolymer, Ethylhexylglycerin, Hydrolyzed Hyaluronic Acid, Madecassic Acid, Asiatic Acid, Atelocollagen, Desamido Collagen, Hydroxypropyltrimonium Hyaluronate, Hydrolyzed Collagen, Palmitoyl Pentapeptide-4, Soluble Collagen, Collagen, Collagen Amino Acids, Acetyl Hexapeptide-8, Copper Tripeptide-1, Hyaluronic Acid, Procollagen, Sodium Acetylated Hyaluronate

Discussion and Conclusions There is evidence for the usefulness of acetyl-l-carnitine in the prevention and treatment of a wide variety of neuropathy states