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Plasma l-carnitine levels in subjects undergoing cardiac evaluation ( n = 2,595) predicted increased risks for both prevalent cardiovascular disease (CVD) and incident major adverse cardiac events (myocardial infarction, stroke or death), but only among subjects with concurrently high TMAO levels

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The same shuttling system can also export excess acetylcarnitine out of the mitochondria to limit inhibition of pyruvate dehydrogenase and spare the pool of free CoA necessary for other molecules

While it does not replace structured training or proper nutrition, it can enhance how efficiently your body uses fat for fuel and supports consistent workout output

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