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Each included study was critically evaluated for its methodological quality, relevance, and contribution to the field

doi: 10.1186/s12877-025-06365-y Crump Alisha

In addition, the accumulation of acylcarnitine in the pathological state of the liver leads to insulin resistance, which further aggravates the development of liver diseases and results in a vicious cycle [211]

Timing : As mentioned earlier, taking L-Carnitine 30 to 60 minutes before exercise can enhance performance and endurance, while taking it after training can promote muscle recovery

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Disruption of thiol homeostasis and nitrosative stress in the cerebrospinal fluid of patients with active multiple sclerosis: evidence for a protective role of acetylcarnitine