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Hellstrom WJ, Kendirci M, Matern R, Cockerham Y, Myers L, Sikka SC et al

Acetyl-L-carnitine seems to be more effective than a drug called tamoxifen for reducing pain and slowing worsening of the condition
The two compounds share similar energy and metabolism promoting properties

Some people take L-Carnitine later in the day, especially if they train after work

However, research indicates that chronically elevated contractility and intracellular calcium levels increase cardiac energy consumption, e ultimately leading to heart failure (Bhm et al., 2010)