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DOI:10.1016/j.medmal.2015.09.009 79

Blume is a gastroenterologist at MedStar Good Samaritan Hospital, Baltimore

In this sense, carnitines principal physiological roles during high-intensity exercise goes from acetyl group buffering (i.e., generating acetylcarnitine) to maintaining a pool of free co-enzyme A, which is required for mitochondrial flow to proceed (including the pyruvate dehydrogenase complex reaction) [38]

Another 2019 review showed it may help lower total and LDL ("bad") cholesterol while raising HDL ("good") cholesterol in individuals at risk for heart disease