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Damp-proof L-carnitine can improve the activity of mitochondrial respiratory enzymes and protect the structure of mitochondrial membranes, thereby protecting the integrity of the respiratory chain, improving myocardial oxidative phosphorylation, and having a greater effect on improving exercise capacity

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Effective dosing of l-carnitine in the secondary prevention of cardiovascular disease: a systematic review and meta-analysis

Among these, medium-chain acyl-CoA dehydrogenase (MCAD) plays a pivotal role in the oxidation of medium-chain fatty acids (C6C12), which are crucial intermediates in cellular energy production, particularly during fasting or prolonged exercise
