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L-Carnitine plays a vital role in energy production within the body by enabling the transportation of long-chain fatty acids into cell mitochondria

Biol Reprod (2008) 80:10514

However, the best results are usually seen when combined with proper nutrition, calorie control, cardio, and consistent exercise

However, autophagosome markers are decreased which may indicate there was a defect in the removal of mitochondria fragments, while reduced mitophagy markers may indicate that there were less healthy mitochondria fragments to be recycled
Only one trial (Talari et al., 2019) mentioned that the researchers and participants were not blinded to the allocation concealment, thereby resulting in a high risk of bias
