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Additionally, intestinal dysbiosis, a key risk factor for CVDs, has been correlated with the development of obesity and diabetes (Almeida et al., 2021)

Acetyl-L-carnitine specifically shows promise for reducing mental fatigue associated with intense training, helping maintain focus during prolonged exercise sessions

Increased amounts of medium-chain acylcarnitines are present in blood and urine

A systematic review and meta-analysis from 2020 confirms this and clarifies that L-arginine can benefit both aerobic and anaerobic performance, though doses for anaerobic benefit are significantly higher (10-12g/day instead of just 1.5-2.0g/day).40 Trimethylglycine (TMG), a.k.a
