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The number of studies was based on actual trials rather than the number of articles to avoid duplication

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Plant Physiol 141(2):312322 Halliwell B, Guterridge JM (2007) Free Radicals in biology and medicine, 4th edn

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Significant increase in water and food intake, variations in the absolute and relative weights of seminal vesicles, and effects noted in urinalysis evaluations were all deemed to be of no toxicological significance because they either represented a physiological response, were temporary and disappeared at the end of the recovery phase, or weren't associated with any microscopic alteration

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It remains to be seen how practical and cost effective daily supplementation of carnitine with carbohydrate is Carnitine and endurance exercise The belief that carnitine is an ergogenic aid for endurance exercise is based on assumptions similar to the weight-loss assumptions: Carnitine concentration in muscle becomes too low to allow the transport of carnitine into the mitochondria to function at a high velocity Oral ingestion of carnitine increases the total carnitine concentration in muscle Any increase in muscle carnitine increases the oxidation rate of plasma FAs and intramuscular triacylglycerols during exercise Any increase in fatty acids will reduce muscle glycogen breakdown and postponing fatigue

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Two independent researchers screened the eligible literature and extracted data, focusing on the trends, biological effects, and mechanisms of action of carnitine/acylcarnitine under different physiological and pathological conditions

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