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Diaz and colleagues concluded that in conditions where it does not increase glucose oxidation, carnitine supplementation worsens both injury and recovery of contractile function after transient ischemia in perfused rat heart [122]
Molecular identification of a novel carnitine transporter specific to human testis
Acetyl-L-carnitine (ALCAR) enhances brain energy metabolism, improving focus, clarity, and cognitive performance
So essentially, more was being produced, but also, more was being excreted, resulting in an ongoing deficiency
