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Intravenous rather than oral supplementation is recommended because it is likely to ensure higher levels of carnitine in the blood (L-carnitine has poor gastrointestinal bioavailability, which is further compromised by digestive dysfunction)

The Metabolic Basis of Inherited Disease

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After the high-intensity exercise, carnitine supplementation induced lower muscle lactate, which means that more carbohydrates are being burned more efficiently (aerobically), and suggests that high-intensity athletes may also have more fuel later in the competition

The observed reduction in both systolic and diastolic left ventricular diameters, along with improved left ventricular ejection fraction in the LC supplemented group, suggests a potential contribution of CABG to reverse remodeling