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This process is called the citrate shuttle

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It remains to be seen how practical and cost effective daily supplementation of carnitine with carbohydrate is Carnitine and endurance exercise The belief that carnitine is an ergogenic aid for endurance exercise is based on assumptions similar to the weight-loss assumptions: Carnitine concentration in muscle becomes too low to allow the transport of carnitine into the mitochondria to function at a high velocity Oral ingestion of carnitine increases the total carnitine concentration in muscle Any increase in muscle carnitine increases the oxidation rate of plasma FAs and intramuscular triacylglycerols during exercise Any increase in fatty acids will reduce muscle glycogen breakdown and postponing fatigue

Ann Rheum Dis