l carnitine metabolic pathway Elucidation of an anaerobic for metabolism of l-carnitine–derived γ-butyrobetaine to trimethylamine in human gut bacteria The effects of pharmacologically decreased
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doi: Scafidi, S., Fiskum, G., Lindauer, S.L., Bamford, P., Shi, D., Hopkins, I

Therefore, further research is required to more accurately assess the results of L-C for treating CHF

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Fatigue: L-Carnitine supplementation may help to reduce fatigue and improve exercise performance in people with chronic fatigue syndrome and other conditions
