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L-carnitine has also been shown to significantly reduce ventricular arrhythmias after acute myocardial infarction, which may well be one of the mechanisms by which it provides an early life-saving beneficial response, explaining the early significant 39% reduction in five-day mortality that was prespecified as a secondary endpoint in the Carnitine Ecocardiografia Digitalizzata Infarct Miocardico 2 (CEDIM 2) [47]
Zhang R, Kang R, Tang D

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Small amounts of L-carnitine are synthesized endogenously from lysine and methionine, in the kidney, liver and brain (Cave et al