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The non-randomized trial by Pettegrew et al 12 assessed with ROBINS-I, showed a critical risk of bias from confounding and serious risk from participant selection, although other domains were low risk

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Thus, muscle carnitine levels have been associated with the ability to sustain high anaerobic efforts with reduced output of lactate

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L-Carnitine L-Tartrate - This form is the most effective for promoting exercise performance