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Utilization of intracellular acetyl-L-carnitine pools by mononuclear phagocytes

Patients with free carnitine (FC) levels of less than 20 mol/L were defined as having carnitine deficiency, and those with FC levels between 20 to 36 mol/L and acylcarnitine-to-free carnitine (AC/FC) ratios of greater than 0.4 were defined as having a high risk of deficiency

The best time to do this is about an hour before training

Schurks M, Rist PM, Kurth T

Kroenke K, Wood D, Mangelsdorff A, Meier N, Powell J

Conversely, unresponsive patients show minimal changes in outcomes, suggesting that factors beyond L- carnitine adequacy may contribute to their unresponsiveness