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Goepp, MD.

In vitro, C16-carnitine has been found to activate specific subsets of neurons in the dorsal root ganglia (DRGs) of muscles that play a key role in sensing muscle fatigue or exertion and are involved in transmitting these sensory signals to the CNS, indicating that C16-carnitine acts as a signaling molecule for muscle afferent nerves [281]

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Furthermore, pilot studies or studies in highly specialized populations (such as elite athletes) often have smaller sample sizes due to the difficulty of recruiting participants who meet the strict inclusion criteria