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Along with increasing energy through fatty acid utilization, L-Carnitine also removes the toxic by-products of cellular energy production, thus decreasing muscular fatigue and boosting muscular endurance

2019;243(2):R1927

These synthetic forms are not biologically active in the same way as the natural L-isomer and can actually competitively inhibit the absorption and utilization of naturally occurring L-carnitine, potentially inducing a state of carnitine deficiency and worsening fatigue symptoms

Many people find that staying well hydrated reduces the intensity of nausea and other side effects

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