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[1] [24] Although there is some evidence from meta-analyses that L-carnitine supplementation improved cardiac function in people with heart failure, there is insufficient research to determine its overall efficacy in lowering the risk or treating cardiovascular diseases

Acknowledgements This research was funded by the Intramural Research Program of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK, NIH)

In plain English, the insulin seemed to have removed the barrier to carnitine uptake and there was now a way of manipulating muscle carnitine levels

10.1186/s12944-017-0572-9 49

Amino acid metabolism in hematologic malignancies and the era of targeted therapy

Implications for induction of autoimmunity via activation of B-1 cells by Helicobacter pylori urease