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doi: 10.1146/annurev-immunol-101819-074948 84 Nabavi-RadASadeghiAAsadzadeh AghdaeiHYadegarASmithSMZaliMR

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Intravenous rather than oral supplementation is recommended because it is likely to ensure higher levels of carnitine in the blood (L-carnitine has poor gastrointestinal bioavailability, which is further compromised by digestive dysfunction)

Note that people suffering from health issues that limit their ability to exercise can still take an L-carnitine L-tartrate supplement
