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An early trial in 160 men and women diagnosed with a recent MI showed that oral L-carnitine (4 g/day) in addition to standard pharmacological treatment for one year significantly reduced mortality and the occurrence of angina attacks compared to the control (47)

However, the heart and skeletal muscle are unable to oxidize FFAs of any chain length independently of carnitine

So too much gasoline if you press on that gas pedal too much, you put that car in overdrive

Perrott J, Murphy NG, Zed PJ

This understanding of exercise-induced palpitations deserves a place on this list because it addresses a common experience for many individuals