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"L-carnitine + clomiphene in PCOS: RCT." Eur J Obstet Gynecol Reprod Biol 2014;180:148-52

In one study out of Turkey published in the Journal of Strength and Conditioning Research , giving professional soccer players three to four grams of L-carnitine before exercise was found to prolong the time it took to reach exhaustion

The deletion of Bhmt gene in mice resulted in an appreciable reduction in SAM/SAH ratio (i.e., the methylation potential) and a several-fold increase in hepatic and plasma total homocysteine (tHcy) concentrations (Teng et al., 2011)
Signs and symptoms of primary carnitine deficiency typically appear during infancy or early childhood and can include severe brain dysfunction (encephalopathy), a weakened and enlarged heart (cardiomyopathy), vomiting, muscle weakness, and low blood glucose (hypoglycemia)

Vitamin C acts as a powerful antioxidant and aids collagen synthesis, while B vitamins contribute to normal psychological function and help reduce tiredness and fatigue, enhancing the overall effectiveness of the supplement