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Furthermore, supplementation of the cryomedium with L-carnitine before freezing improves post-thaw sperm parameters and reduce the sperm cryodamage

Studies have found that people who don't eat as much meat don't metabolize L-carnitine as well, but those who eat a lot of it have tons of the bacteria that turn it into TMAO

L-carnitine supplements are taken by mouth to increase L-carnitine levels in people whose natural level of L-carnitine is too low because they have a genetic disorder, are taking certain drugs (such as valproic acid for seizures or certain antibiotics for tuberculosis), or because they are undergoing a medical procedure (hemodialysis for kidney disease) that uses up the body's L-carnitine

Within minutes, it reaches therapeutic concentrations in your blood a level that oral supplements may take days or weeks to approach, if at all