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In addition, when circulating L-carnitine concentration increases, as in the case of oral supplementation, renal reabsorption of L-carnitine may become saturated, resulting in increased urinary excretion of L-carnitine (5)

Montgomery SA, Thal LJ, Amrein R

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The potential of L-carnitine to reduce and eliminate free radicals is related to the suppression of hydroxyl radical production in a chemical reaction, the Fenton reaction, possibly through chelating the iron ions necessary for the hydroxyl radical generation (71)

Quality of life improvement was greater with PLC (MD 0.06, 95% CI 0.05 to 0.07