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PMCID: PMC7377964 Cortini F, Villa C

This led them to test eight subjects using intravenous infusion insulin (the hormone released when carbohydrate is consumed) and also carnitine infusion to similarly raise blood-carnitine levels above that observed when eating dietary sources of carnitine

Note the reduction of love handles and a flatter stomach for a defined lower torso aesthetic
For example, using amidases from microorganisms such as Pseudomonas to selectively hydrolyze DL-carnitine amide or carnitine nitrile can produce L-carnitine with an optical purity exceeding 99%