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From a practical perspective, athletes and coaches may consider using the split-dose L-carnitine protocol of 1 g at 90 and 60 min before exercise before particularly demanding training sessions or competitive events requiring sustained endurance and metabolic efficiency

Kushwah RB, Dykes CL, Kapoor N, Adak T, Singh OP

Similarly, the results of screening and comparing all participants in the male control and male MDD groups (Figures 5DF) and comparing all participants in the female control and female MDD groups (Figures 5GI), compared to the control group, the MDD exhibited a lower concentration of acetylcarnitine and this was a statistically significant difference regardless of exposure to drug treatment

[PubMed] [AHAJournal] El-Amrousy D, Hassan S, Hodeib H