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doi: 10.1016/j.trsl.2014.02.003 103 NilssonEKingSEMcBirneyMKubsadDPappalardoMBeckDet al

Journal of Internal Medicine, 277 , 717726

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They suggest that the effectiveness of L-carnitine in altering physical performance is either due to effects outside the muscles or changes in muscle L-carnitine content after prolonged intake, with similar conclusions drawn by other experts (Burrus et al