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In contrast, Xu et al

L-Carnitine can be supplied as a dietary supplement in cases of L-Carnitine deficiency , extra energy intake, as an additional stimulus to fat metabolism, muscular atrophy, fatigue and tiredness, reduced sperm activity, infertility, vitality loss and immune system depression

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For this reason, it is used in general anaesthesia and sedation of patients during medical procedures [150]

Supplements should be viewed as adjuncts at most, not primary interventions

Carnitine deficiency is a risk for patients suffering from liver cirrhosis and kidney disease