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L-Carnitine is produced naturally by the body and exists in two biologically active isomers, L-Carnitine and D-Carnitine, which have drastically different effects on the body

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278 : 19071916 Patrick GN, Zukerberg L, Nikolic M, de la Monte S, Dikkes P, Tsai L-H

The mitochondrial membranes are impermeable to coenzyme A(CoA) esters and long-chain fatty acids, binding of L-carnitine to acetyl groups via carnitine acyltransferase is essential for the shuttle of the acetylated fatty acids into the mitochondria and their subsequent oxidation

L-carnitine supplementation does not promote weight loss in ovariectomized rats despite endurance exercise

For most people, acetyl-L-carnitine and L-carnitine seem to be the most effective for general use