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Antioxidant Properties: L-carnitine reduces oxidative stress, which can protect muscles from damage during intense workouts

If carnitine transporter is defective, extensive renal wastage of carnitine causes a very low plasma carnitine concentration and subsequently carnitine deficiency

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This regulatory pattern forces cells to rely more heavily on anaerobic glycolysis for ATP production

Tyni T, Kivela T, Lappi M, Summanen P, Nikoskelainen E, Pihko H: Ophthalmologic findings in long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency caused by the G1528C mutation: a new type of hereditary metabolic chorioretinopathy