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6) Carnitine is eliminated via urine as free carnitine and acylcarnitines, but more than 95% of carnitine filtered in the kidney is reabsorbed by the proximal tubules therefore maintaining the homeostatic balance of carnitine in the body

The hormonal stuff, in my opinion at least, seems more like a side-effect of a changed energy environment inside the cell

Some findings support the hypothesis that administration of l-carnitine attenuates the inflammatory process in pathological conditions

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Orally administered guanidino-acetic acid (GAA) could positively affect creatine metabolism, alleviate several aspects of fatigue and improve both physical as well as work capacity in patients with CFS 545

Without enough L-carnitine, your cells have a harder time using fat as fuel