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At carnitine-replete levels, the mitochondria can process fatty acids at their maximum rate for that individual's metabolic capacity, producing more aerobic ATP from fat oxidation and reducing the reliance on muscle glycogen as an alternative energy substrate

Additionally, Warren et al

The patients were given 500 mg per day of ALCAR alongside a structured functional rehab program

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Monitoring is critical

Koumantakis E, Sifakis S, Koumantaki Y, Hassan E, Matalliotakis I, Papadopoulou E, Evangeliou A (2001) Plasma carnitine levels of pregnant adolescents in labor