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While there have been positive reports of carnitine supplementation and enhanced exercise performance and/or improved responses to exercise, there has been a general consensus to disregard the validity of those findings as the predominate opinion is that any performance enhancements must be predicated on increased resting muscle carnitine levels

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Beyond peptides, targeting molecules like aptamers (short DNA or RNA strands that bind specifically to targets), small molecules (designed to interact with disease-related receptors or enzymes), and carbohydrates (for targeting specific cell surface lectins or receptors) are also under investigation for their therapeutic potential [56,57,58,59,60]