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Tonum cites human clinical trial data reporting about a 10.4% average weight loss over six months and notes that most of the loss was fat rather than lean mass
PMID: 30069296 7 Molecular Autopsy Implicates Primary Carnitine Deficiency in Sudden Unexplained Death and Reversible Short QT Syndrome
Research shows that supplementing with L-carnitine does not meaningfully improve fat loss or body composition in most people who already consume adequate amounts through their diet

Br J Haematol 192(3):667-671, 2021

Perna, A