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doi: 10.1016/bs.afnr.2015.08.001

Optimal timing depends on your goal: Athletes : 30-60 minutes before training to maximize fat burning during exercise Weight loss outside of sports : morning intake on an empty stomach to optimize fat mobilization throughout the day Rest days : morning intake with breakfast L-carnitine is absorbed better with carbohydrates (insulin effect) orange juice or a fruit as accompaniment improves absorption

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Deficiency can contribute to chest pain (angina), palpitations, and a reduction in overall cardiovascular function

Diabetes and cardiac autonomic neuropathy: clinical manifestations, cardiovascular consequences, diagnosis and treatment

This was probably inhaled by the patient, which is of course immediately transferred to blood
