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Acetyl-L-carnitine improves pain, nerve regeneration, and vibratory perception in patients with chronic diabetic neuropathy: an analysis of two randomized placebo-controlled trials
It can also cause poor muscle metabolism and other negative health effects

[DOI] [PubMed] [Google Scholar] 10.Efficacy and safety of L-carnitine treatment for chronic heart failure: a meta-analysis of randomized controlled trials

This supports the rapid regeneration of ATP, the main energy currency during high-intensity exercise, leading to improved strength, power, and endurance
