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It does so by transporting adipose acids to the cell mitochondria where they're burned to produce energy

Reduced muscle damage and improved recovery: L-carnitine helps reduce exercise-induced oxidative stress and may support faster recovery between training sessions

Research by Choi et al

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The sample is examined in a lab to check for the presence of malignancy
nine studies, 1151 participants), or a 31% relative improvement (95% CI 28% to 34%)