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A realistic way to look at it is this: L-Carnitine may support the bodys natural fat metabolism process, especially when paired with movement, balanced meals, hydration, and enough rest

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L-Carnitine enhances exercise tolerance and cardiac function in heart failure patients (Malaguarnera et al., 2009)

You dont need to do intense workouts, but regular movement helps

However, TMAO insult alone was not sufficient to convert renal fibroblasts to myofibroblasts requiring synergy with a preexisting pathological state, i.e., pro-fibrotic signaling (second-hit) in the form of TGF-1 stimulation, the most prominent pro-fibrotic cytokine 46