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doi: 10.1093/ije/dyu005

In many cases, beneficial effects can be chalked up to antioxidant activity, while the coenzymes role in the electron transport chain can account for some others

Levo-propionyl-carnitine improves the effectiveness of supervised physical training on the absolute claudication distance in patients with intermittent claudication
pmid:22425701 41

Consult a healthcare professional prior to use if you are pregnant or nursing, taking medication, or have a medical condition

However, while it is generally safe for most people, if you experience side effects, are on medication, or have other health conditions, be sure to talk to your doctor
