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191 In one randomized controlled trial that included 175 men with infertility, taking a supplement providing 1 gram L-carnitine and 0.5 grams acetyl-L-carnitine, as well as 725 mg fumarate, 1 gram fructose, 50 mg citric acid, 10 mg zinc, 20 mg CoQ10, 50 mcg selenium, 90 mg vitamin C, 200 mcg folic acid, and 1.5 mcg B12, twice daily improved sperm motility, semen volume, and DNA fragmentation compared with placebo after six months

For athletes, the ideal timing is 30 to 60 minutes before training to support the mobilisation of fat reserves during exercise

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We confirmed, circulating TMAO significantly increased with cardiometabolic disease severity, in line with previous reports 7,22 (Supplementary Fig