My thoughts: Not clear what you really want. Acetylcholine does mediate neuromuscular transmission, and if malfunctioning, due to diseases, such as myasthenia, spider bites, botulism, fertilizer sprays. Level drops in brain due to alzheimers, but does not affect muscle. Not sure whether you are asking about supplements for muscle growth, but this does not involve ach.
Answered 3/7/2014
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