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However, these results appear to be more significant when supplementation is combined with a diet and exercise program

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Why Multiple Forms of Carnitine Are Combined

10.1111/j.1528-1157.1993.tb02419.x

Homeostasis model assessment: insulin resistance and -cell function from fasting plasma glucose and insulin concentrations in man

During low-intensity aerobic exercise, the body prefers to use fatty acids as the main energy source, and an adequate supply of carnitine can promote FAO and support prolonged exercise [275]