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Interestingly, the patients who received the combined treatment experienced less overall improvement than those taking either form individually, suggesting that massive doses of competing carnitine forms might overwhelm cellular transport mechanisms
Oct 312020;9(11)doi:10.3390/jcm9113527

This shift can support better metabolic flexibility in critically ill or malnourished patients

doi: 10.1007/s11064-017-2288-7
